Individual
DR. JOHN PERSHING ANDERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
89 CHURCH AVE, RAINSVILLE, AL 35986-0646
(256) 638-4436
(256) 638-7212
Mailing address
PO BOX 646, RAINSVILLE, AL 35986
(256) 638-4436
(256) 638-7212
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3022
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90122
—
AL
Enumeration date
12/06/2006
Last updated
07/08/2007
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