Individual
DR. BILLY A ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1376 HIGHWAY 17 N, NORTH MYRTLE BEACH, SC 29582-2551
(843) 969-2054
Mailing address
3330 MIDVALE DR APT 1102, WILMINGTON, NC 28412-5288
(317) 760-2993
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10233
SC
1223G0001X
General Practice Dentistry
Primary
10233
SC
Other
Enumeration date
06/18/2022
Last updated
01/24/2024
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