Organization
DENNIS ANDERSON OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS L ANDERSON O,D. (OWNER)
(812) 288-7179
Entity
Organization
Contact information
Practice address
100 E 12TH ST, JEFFERSONVILLE, IN 47130-3834
(812) 288-7179
(812) 288-0203
Mailing address
100 E 12TH ST, JEFFERSONVILLE, IN 47130-3834
(812) 288-7179
(812) 288-0203
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001580AB
IN
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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