Individual
MARK W ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
909 N LOGAN AVE, DANVILLE, IL 61832
(217) 446-8696
(217) 446-1969
Mailing address
909 N LOGAN AVE, DANVILLE, IL 61832
(217) 446-8696
(217) 446-1969
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
IL
Other
Enumeration date
02/08/2006
Last updated
09/11/2025
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