Organization
THOMAS M ANDERSON DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MARTIN ANDERSON JR. (OWNER)
(336) 766-3377
Entity
Organization
Contact information
Practice address
2245 LEWISVILLE CLEMMONS ROAD SUITE B, CLEMMONS, NC 27012
(336) 766-3377
(336) 766-3661
Mailing address
2245 LEWISVILLE CLEMMONS ROAD SUITE B, CLEMMONS, NC 27012
(336) 766-3377
(336) 766-3661
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90044
BCBS
NC
Enumeration date
10/03/2006
Last updated
08/22/2020
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