NPI 1003502477

Eric a Anderson

Practitioner Denturist Somerset, KY

Practice location

Address: 156 Southport Dr, Somerset, KY 42501-4149
Phone: (606) 677-1459

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DT-DO-10180589 (OR)

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Registry record

NPI: 1003502477
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Apr 2023
Record last updated: 17 Apr 2023

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.