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John S Anderson
General Practice Dentistry in Champaign, Illinois
NPI 1215387501

John S Anderson is a General Practice Dentistry based in Champaign, IL and is specialized in General Practice. John S Anderson practices in Champaign, IL. The NPI Number for John S Anderson is 1215387501 and holds a License No. 019.030678 (Illinois).

The current practice location address for John S Anderson is 819 Bloomington Rd, Champaign, IL and can be reached out via phone at 217-403-5477 and via fax at 217-403-5476.

Location: 819 Bloomington Rd, Champaign, IL, 61820-2101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215387501
Provider Name
John S Anderson
Credential
Provider Entity Type
Individual
Gender
Male
Address
819 Bloomington Rd, Champaign, IL, 61820-2101
Phone Number
217-403-5477
Fax Number
217-403-5476
Provider Enumeration Date
06/16/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
819 Bloomington Rd
City
Champaign
State
Illinois
Zip
61820-2101
Phone Number
217-403-5477
Fax Number
217-403-5476
person
Provider Business Mailing Address Details
Address
819 Bloomington Rd
City
Champaign
State
Illinois
Zip
61820-2101
Phone Number
217-403-5477
Fax Number
217-403-5476
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019.030678 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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