Brian Anderson, DDS is a
Dentist based in Columbia, South Carolina. Brian Anderson is licensed to practice in Utah (license number 13445134-9922) and his current practice location is
4500 Stuart Ave, Columbia, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(803) 751-3255.
NPI number for Brian Anderson is 1104352699 and his current mailing address is 4500 Stuart Ave, Columbia, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104352699.
Healthcare Provider's Profile
| Full Name | Brian Anderson |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 4500 Stuart Ave, Columbia, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104352699
- Provider Enumeration Date: 05/04/2017
- Last Update Date: 08/10/2023
Medical Identifiers
Medical identifiers for Brian Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104352699 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 13445134-9922 (Utah) | Secondary |
| 122300000X | Dentist | 13445134-9922 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian Anderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brian Anderson, DDS
4500 Stuart Ave,
Columbia, SC 29207-5720
Ph: () - | Brian Anderson, DDS
4500 Stuart Ave,
Columbia, SC 29207-5720
Ph: (803) 751-3255 |
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