Individual
DR. JAMES GREGORY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
175 FRANK PRICE BLVD, CLINTON, TN 37716-1420
(865) 622-4959
(865) 269-4336
Mailing address
175 FRANK PRICE BLVD, CLINTON, TN 37716-1420
(865) 622-4959
(865) 269-4336
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS0000005390
TN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS5390
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316197619
GROUP NPI
TN
05
—
1511863
—
TN
Enumeration date
12/14/2005
Last updated
10/17/2024
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