Active NPIIndividual provider

Dr. Justin A Anderson, DDS

Dentist, General Practice in Salem, Oregon

NPI Number1609485101
Practice location
1595 Commercial St SE, Salem, OR 97302-4309
Fax
503-448-2560
Last updated
July 30, 2020

Dr. Justin A Anderson, DDS is a Dentist, General Practice based in Salem, OR. Dr. Justin A Anderson, DDS holds the professional credentials of DDS. The NPI number for Dr. Justin A Anderson, DDS is 1609485101 and holds license No. D11269 (OR). The current practice location address is 1595 Commercial St SE, Salem, OR 97302-4309 and the office can be reached by phone at 503-877-1598 and by fax at 503-448-2560. The NPI was assigned on July 30, 2020 and the record was last updated in NPPES on July 30, 2020.

●Provider Profile Details

NPI Number
1609485101
Provider Name
Justin Alton Anderson
Credential
DDS
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Enumeration Date
July 30, 2020
Last Update Date
July 30, 2020
Certification Date
July 30, 2020
NPI Status
Active

◉Business Practice Location Address

Address
1595 Commercial St SE
Salem, OR 97302-4309
City
Salem
State
Oregon
ZIP
97302-4309
Country
US
Phone Number
503-877-1598
Fax Number
503-448-2560

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✉Business Mailing Address

Address
1595 Commercial St SE
Salem, OR 97302-4309
City
Salem
State
OR
ZIP
97302-4309
Phone Number
503-877-1598
Fax Number
503-448-2560

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Dentist, General Practice1223G0001XYesD11269OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Dr. Justin A Anderson, DDS?

The NPI number of Dr. Justin A Anderson, DDS is 1609485101. It was assigned on July 30, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Justin A Anderson, DDS?

Dr. Justin A Anderson, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X) and holds license No. D11269 (OR).

Where does Dr. Justin A Anderson, DDS practice?

The practice location is 1595 Commercial St SE, Salem, OR 97302-4309. The office can be reached at 503-877-1598 (phone) or 503-448-2560 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609485101 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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