Individual
DR. CLIFFORD VIRGIL ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4240 BLUE RIDGE BLVD, SUITE 800, KANSAS CITY, MO 64133
(816) 353-7200
(816) 353-5162
Mailing address
4240 BLUE RIDGE BLVD, SUITE 800, KANSAS CITY, MO 64133
(816) 353-7200
(816) 353-5162
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12006
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05270011
BLUE CROSS BLUE SHIELD
MO
01
—
144566
UNITED CONCORDIA
MO
Enumeration date
05/19/2006
Last updated
07/08/2007
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