Individual
DR. GERALD ELLIS ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3975 RIVER RD N, SUITE #5, KEIZER, OR 97303-4811
(503) 393-9106
(503) 393-3053
Mailing address
3975 RIVER RD N, SUITE #5, KEIZER, OR 97303-4811
(503) 393-9106
(503) 393-3053
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4704
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00454-9
—
OR
01
—
0250011-8
OREGON BUSINESS ID #
OR
01
—
D4704
OREGON DENTAL LICENSE #
OR
Enumeration date
07/08/2005
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us