Individual
JOHN R ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
(630) 743-4500
Mailing address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
(630) 743-4500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.036904
IL
1223G0001X
General Practice Dentistry
1002162-15
WI
Other
Enumeration date
03/30/2019
Last updated
03/20/2026
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