Organization
DR. JOHN ANDERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P ANDERSON JR. DMD (OWNER)
(256) 638-4436
Entity
Organization
Contact information
Practice address
89 CHURCH AVE, RAINSVILLE, AL 35986-0646
(256) 638-4436
(256) 638-7212
Mailing address
89 CHURCH AVE, PO BOX 646, RAINSVILLE, AL 35986-0646
(256) 638-4436
(256) 638-7212
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D3022
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90122
—
AL
Enumeration date
05/10/2016
Last updated
05/10/2016
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