Organization
RALPH L. ANDERSON, D.D.S., LTD.
Active
Organization
RALPH L. ANDERSON, D.D.S., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH LEMUS ANDERSON D.D.S. (PRESIDENT)
(804) 285-9800
Entity
Organization
Contact information
Practice address
5500 MONUMENT AVE, SUITE R, RICHMOND, VA 23226-1452
(804) 285-9800
(804) 285-5711
Mailing address
5500 MONUMENT AVE, SUITE R, RICHMOND, VA 23226-1452
(804) 285-9800
(804) 285-5711
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401003919
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007617
DORAL DENTAL
VA
01
—
003870
ANTHEM HEALTHKEEPERS PLUS
VA
01
—
799259
UNITED CONCORDIA
VA
Enumeration date
07/24/2006
Last updated
08/22/2020
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