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Dr. Clifford Virgil Anderson, DDS
Pediatric Dentist in Kansas City, Missouri
NPI 1336193952

Clifford Virgil Anderson is a Pediatric Dentist based in Kansas City, MO and is specialized in Pediatric Dentistry. Clifford Virgil Anderson practices in Kansas City, MO and has the professional credentials of DDS. The NPI Number for Clifford Virgil Anderson is 1336193952 and holds a License No. 12006 (Missouri).

The current practice location address for Clifford Virgil Anderson is 4240 Blue Ridge Blvd, Kansas City, MO and can be reached out via phone at 816-353-7200 and via fax at 816-353-5162.

Location: 4240 Blue Ridge Blvd, Kansas City, MO, 64133
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Provider Profile Details
NPI Number
1336193952
Provider Name
Clifford Virgil Anderson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4240 Blue Ridge Blvd, Kansas City, MO, 64133
Phone Number
816-353-7200
Fax Number
816-353-5162
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05270011 01 MO BLUE CROSS BLUE SHIELD
144566 01 MO UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
4240 Blue Ridge Blvd
City
State
Zip
64133
Phone Number
816-353-7200
Fax Number
816-353-5162
person
Provider Business Mailing Address Details
Address
4240 Blue Ridge Blvd
City
State
Zip
64133
Phone Number
816-353-7200
Fax Number
816-353-5162
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
12006 (Missouri)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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