Organization
ROBERT E. ANDERSON, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E ANDERSON DDS (ORAL & MAXILLOFACIAL SURGEON)
(501) 664-3900
Entity
Organization
Contact information
Practice address
1 SAINT VINCENT CIR STE 240, LITTLE ROCK, AR 72205-5407
(501) 664-3900
(501) 663-6076
Mailing address
1 SAINT VINCENT CIR STE 240, LITTLE ROCK, AR 72205-5407
(501) 664-3900
(501) 663-6076
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1729
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127328679
—
AR
Enumeration date
12/17/2008
Last updated
04/29/2011
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