NPI 1013033851

Anderson Dental, LLC

Organisation General Practice Dentistry Jackson, MS

Practice location

Address: 514-D East Woodrow Wilson Dr., Jackson, MS 39216-4538
Phone: (601) 366-1112
Fax: (601) 366-6092
Mailing address: P.O. Box 11277, Jackson, MS 39283-1277

Authorised official

Name: Leon Anderson
Title: Owner
Phone: (601) 366-1112

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence MS2164-85 (MS)

Other Dentist providers in Mississippi →

Registry record

NPI: 1013033851
Entity type: Organization
NPI issued: 22 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.