Individual
GREGORY W ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
2695 MAYSVILLE PIKE, SUITE B, ZANESVILLE, OH 43701-8575
(740) 452-6784
Mailing address
112 RUNKLE DR, PATASKALA, OH 43062-9650
(614) 327-1400
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30-022060
OH
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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