Organization
ANDERSON ORTHODONTICS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH H. B. ANDERSON (PRESIDENT)
(804) 285-9800
Entity
Organization
Contact information
Practice address
5500 MONUMENT AVE, STE K, RICHMOND, VA 23226-1452
(804) 285-9800
(804) 285-5711
Mailing address
5500 MONUMENT AVE, STE K, RICHMOND, VA 23226-1452
(804) 285-9800
(804) 285-5711
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401008749
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9183338
DENTAQUEST
VA
05
—
9183338
—
VA
Enumeration date
03/14/2006
Last updated
07/20/2016
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