Individual
DR. DAVID ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2851 UNIVERSITY AVE, GREEN BAY, WI 54311-5855
(920) 431-2500
Mailing address
4090 MONROE RD, DE PERE, WI 54115-9205
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1001585-15
WI
1223G0001X
General Practice Dentistry
Primary
1001585-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/24/2016
Last updated
04/03/2025
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