Individual
DR. COLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.,M.S.
Contact information
Practice address
602 W UNIVERSITY AVE, URBANA, IL 61801-2530
(217) 383-3280
(217) 383-7071
Mailing address
602 W UNIVERSITY AVE, URBANA, IL 61801-2530
(217) 383-3280
(217) 383-7071
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.028186
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
018.001699
IL
Other
Enumeration date
06/28/2009
Last updated
02/16/2010
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