NPI 1043220304

Farrah L Anderson

Practitioner General Practice Dentistry Independence, MO

Practice location

Address: 1619 W US Highway 24, Independence, MO 64050-2345
Phone: (816) 461-0055

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 60429 (KS)

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Registry record

NPI: 1043220304
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Aug 2006
Record last updated: 19 Dec 2012

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.