Individual
DR. DAVID LEE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
2081 W RIDGE RD, SUITE 101, ROCHESTER, NY 14626-2724
(585) 227-0800
(585) 227-0802
Mailing address
2081 WEST RIDGE ROAD, SUITE 105, ROCHESTER, NY 14626-2724
(585) 227-0800
(585) 227-0802
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
046225
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204778210
GREECE ORAL SURGERY FEIN
NY
Enumeration date
05/09/2006
Last updated
12/03/2015
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