Individual
EMMA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
801 SUNSET DR STE E5, JOHNSON CITY, TN 37604-3033
(423) 282-2333
Mailing address
801 SUNSET DR STE E5, JOHNSON CITY, TN 37604-3033
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0401418687
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12387
TN
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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