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Jonathon Henning Anderson, DDS
Oral and Maxillofacial Surgery (Dentist) in Birmingham, Michigan
NPI 1811979719

Jonathon Henning Anderson is a Oral and Maxillofacial Surgery (Dentist) based in Birmingham, MI and is specialized in Oral and Maxillofacial Surgery. Jonathon Henning Anderson practices in Birmingham, MI and has the professional credentials of DDS. The NPI Number for Jonathon Henning Anderson is 1811979719 and holds a License No. 2901012981 (Michigan).

The current practice location address for Jonathon Henning Anderson is 555 S Old Woodward Ave Ste 777, Birmingham, MI and can be reached out via phone at 248-647-4700 and via fax at 248-647-4730.

Location: 555 S Old Woodward Ave Ste 777, Birmingham, MI, 48009-6618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811979719
Provider Name
Jonathon Henning Anderson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
555 S Old Woodward Ave Ste 777, Birmingham, MI, 48009-6618
Phone Number
248-647-4700
Fax Number
248-647-4730
Provider Enumeration Date
11/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2990516 05 MI
4067429 05 MI
970F31085 01 MI BCBSM
JA012981 01 MI LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
555 S Old Woodward Ave Ste 777
City
Birmingham
State
Michigan
Zip
48009-6618
Phone Number
248-647-4700
Fax Number
248-647-4730
person
Provider Business Mailing Address Details
Address
555 S Old Woodward Ave Ste 777
City
Birmingham
State
Michigan
Zip
48009-6618
Phone Number
248-647-4700
Fax Number
248-647-4730
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
2901012981 (Michigan)
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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