Kellie Anderson, CDA, EFDA
Dental Assistant in Salem, Oregon
1912266438- Practice location
- 2300 Lancaster Dr NE, Salem, OR 97305-1223
- Phone
- 503-370-4313
- Fax
- 503-375-5737
- Last updated
- May 4, 2012
Kellie Anderson, CDA, EFDA is a Dental Assistant based in Salem, OR. Kellie Anderson, CDA, EFDA holds the professional credentials of CDA, EFDA. The NPI number for Kellie Anderson, CDA, EFDA is 1912266438 and holds license No. 120376 (OR). The current practice location address is 2300 Lancaster Dr NE, Salem, OR 97305-1223 and the office can be reached by phone at 503-370-4313 and by fax at 503-375-5737. The NPI was assigned on May 4, 2012 and the record was last updated in NPPES on May 4, 2012.
●Provider Profile Details
- NPI Number
- 1912266438
- Provider Name
- Kellie Anderson
- Credential
- CDA, EFDA
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Dental Assistant · 126800000X
- Sole Proprietor
- No
- Enumeration Date
- May 4, 2012
- Last Update Date
- May 4, 2012
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 2300 Lancaster Dr NE
Salem, OR 97305-1223 - City
- Salem
- State
- Oregon
- ZIP
- 97305-1223
- Country
- US
- Phone Number
- 503-370-4313
- Fax Number
- 503-375-5737
✉Business Mailing Address
- Address
- 2300 Lancaster Dr NE
Salem, OR 97305-1223 - City
- Salem
- State
- OR
- ZIP
- 97305-1223
- Phone Number
- 503-370-4313
- Fax Number
- 503-375-5737
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Dental Assistant | 126800000X | Yes | 120376 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Salem →?Frequently Asked Questions
What is the NPI number of Kellie Anderson, CDA, EFDA?
The NPI number of Kellie Anderson, CDA, EFDA is 1912266438. It was assigned on May 4, 2012 and is currently active in the NPPES registry.
What is the specialty of Kellie Anderson, CDA, EFDA?
Kellie Anderson, CDA, EFDA is registered under the primary taxonomy Dental Assistant (code 126800000X) and holds license No. 120376 (OR).
Where does Kellie Anderson, CDA, EFDA practice?
The practice location is 2300 Lancaster Dr NE, Salem, OR 97305-1223. The office can be reached at 503-370-4313 (phone) or 503-375-5737 (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 1912266438 directly on the NPPES registry website at npiregistry.cms.hhs.gov.