Individual
DR. ADAM JACOB ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3617 W SUNSET AVE, SPRINGDALE, AR 72762-4955
(479) 419-9991
Mailing address
3617 W SUNSET AVE, SPRINGDALE, AR 72762-4955
(479) 419-9991
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4031
AR
122300000X
Dentist
6258
OK
Other
Enumeration date
07/20/2010
Last updated
07/07/2015
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