person
Theodore Michael Anderson, DMD
Oral and Maxillofacial Surgery (Dentist) in Sheboygan, Wisconsin
NPI 1134178163

Theodore Michael Anderson is a Oral and Maxillofacial Surgery (Dentist) based in Sheboygan, WI and is specialized in Oral and Maxillofacial Surgery. Theodore Michael Anderson practices in Sheboygan, WI and has the professional credentials of DMD. The NPI Number for Theodore Michael Anderson is 1134178163 and holds a License No. 4516015 (Wisconsin).

The current practice location address for Theodore Michael Anderson is 3637 Wilgus Avenue, Sheboygan, WI and can be reached out via phone at 920-458-8213 and via fax at 920-459-9797. You can also correspond with Theodore Michael Anderson through the mailing address at 3637 WILGUS AVENUE, SHEBOYGAN, WI - 53081 (mailing address contact number: 920-458-8213).

Location: 3637 Wilgus Avenue, Sheboygan, WI, 53081
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Provider Profile Details
NPI Number
1134178163
Provider Name
Theodore Michael Anderson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
3637 Wilgus Avenue, Sheboygan, WI, 53081
Phone Number
920-458-8213
Fax Number
920-459-9797
Provider Enumeration Date
05/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33741300 05 WI
institution
Provider Business Practice Location Address Details
Address
3637 Wilgus Avenue
City
State
Zip
53081
Phone Number
920-458-8213
Fax Number
920-459-9797
person
Provider Business Mailing Address Details
Address
3637 Wilgus Avenue
City
State
Zip
53081
Phone Number
920-458-8213
Fax Number
920-459-9797
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
4516015 (Wisconsin)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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