Individual
DR. PAUL CHARLES ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2270 NISTLER RD, DELTA JUNCTION, AK 99737
(907) 895-4274
(907) 895-4276
Mailing address
PO BOX 985, DELTA JUNCTION, AK 99737-0985
(907) 895-4274
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1162
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1527523
UNITED CONCORDIA
AK
05
—
DD08701
—
AK
Enumeration date
09/05/2006
Last updated
04/03/2012
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