Individual
DR. NATHAN MICHAEL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4777 MAIN ST, SPRINGFIELD, OR 97478-6069
(541) 357-4888
(541) 357-4846
Mailing address
4777 MAIN ST, SPRINGFIELD, OR 97478-6069
(541) 357-4888
(541) 357-4846
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9198
OR
1223G0001X
General Practice Dentistry
1181
WY
Other
Enumeration date
11/06/2007
Last updated
03/22/2013
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