Individual
DR. BRUCE NELSON ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
16 HIGHLAND RD, WAREHAM, MA 02571-1409
(508) 728-9818
Mailing address
PO BOX 473, MATTAPOISETT, MA 02739-0473
(508) 728-9818
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12626
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0243973
—
MA
Enumeration date
08/28/2007
Last updated
08/28/2007
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