| Anderson Dental Group | |
|
411 E Statesville Ave Mooresville NC 28115-2533 | |
| (704) 663-3300 | |
| (704) 663-0188 |
| Full Name | Anderson Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 411 E Statesville Ave, Mooresville, North Carolina |
| Authorized Official Name and Position | Jimmie Anderson (PRESIDENT) |
| Authorized Official Contact | 7046633300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anderson Dental Group 411 E Statesville Ave Mooresville NC 28115-2533 Ph: (704) 663-3300 | Anderson Dental Group 411 E Statesville Ave Mooresville NC 28115-2533 Ph: (704) 663-3300 |
| NPI Number | 1902959646 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 10/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902959646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6793 (North Carolina) | Primary |
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