Shanean Michelle Anderson Dds Pa | |
900 S Franklin St Suite 101 Wake Forest NC 27587-2799 | |
(919) 825-1795 | |
(919) 229-8483 |
Full Name | Shanean Michelle Anderson Dds Pa |
---|---|
Speciality | Dentist |
Location | 900 S Franklin St, Wake Forest, North Carolina |
Authorized Official Name and Position | Shanean Michelle Anderson (PRESIDENT/OWNER) |
Authorized Official Contact | 9198251795 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shanean Michelle Anderson Dds Pa 900 S Franklin St Suite 101 Wake Forest NC 27587-2799 Ph: (919) 825-1795 | Shanean Michelle Anderson Dds Pa 900 S Franklin St Suite 101 Wake Forest NC 27587-2799 Ph: (919) 825-1795 |
NPI Number | 1689019945 |
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Provider Enumeration Date | 04/30/2013 |
Last Update Date | 04/30/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689019945 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 8755 (North Carolina) | Primary |
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