Individual
DR. TONYA M ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3719 RIVERDALE RD, MEMPHIS, TN 38115-5322
(901) 365-2000
(901) 365-2626
Mailing address
3719 RIVERDALE RD, MEMPHIS, TN 38115-5322
(901) 365-2000
(901) 365-2626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS0000006961
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1453674
PROVIDER-UNITED CONCORDIA
—
01
—
4074188
PROVIDER BCBS
—
Enumeration date
07/27/2006
Last updated
05/10/2021
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