Organization
ROBERT E ANDERSON DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT EDWARD ANDERSON DDS (PRESIDENT)
(757) 934-3000
Entity
Organization
Contact information
Practice address
2490 PRUDEN BOULEVARD, SUFFOLK, VA 23434
(757) 934-3000
(757) 934-1200
Mailing address
2490 PRUDEN BOULEVARD, SUFFOLK, VA 23434
(757) 934-3000
(757) 934-1200
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4978
VA
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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