Individual
DR. DONALD G ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
3105 E 98TH ST, SUITE 130, INDIANAPOLIS, IN 46280-2005
(317) 569-9977
(317) 569-9988
Mailing address
3105 E 98TH ST, SUITE 130, INDIANAPOLIS, IN 46280-2005
(317) 569-9977
(317) 569-9988
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
12009805
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12009805
INDIANA DENTAL LICENSE
IN
Enumeration date
09/01/2006
Last updated
11/18/2010
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