Individual
DR. MICHAEL EDWARD ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
18709 CRESTWOOD DR, HAGERSTOWN, MD 21742-2705
(301) 797-6841
(301) 739-7965
Mailing address
18709 CRESTWOOD DR, HAGERSTOWN, MD 21742-2705
(301) 797-6841
(301) 739-7965
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5413
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102
BC/BS OF MD
MD
01
—
1637929
UNITED CONCORDIA
—
01
—
5926263
AETNA
—
01
—
ZBE686
BC/BS OF MA
MA
Enumeration date
07/17/2006
Last updated
07/08/2007
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