Individual
DR. DOUGLAS ROBERT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
141 S 6TH ST, COLUMBUS, OH 43215-4607
(614) 224-1942
(614) 224-1527
Mailing address
141 S 6TH ST, COLUMBUS, OH 43215-4607
(614) 224-1942
(614) 224-1527
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30-01-4637
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0320325
—
OH
Enumeration date
08/17/2006
Last updated
07/08/2007
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