NPI 1598291486

Bentley James Anderson, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Saint Louis, MO

Practice location

Address: 621 S New Ballas Rd STE 16a, Saint Louis, MO 63141-8239
Phone: (314) 251-6725

Registered specialties (3)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 2021011403 (MO)

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Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 2021011403 (MO)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1598291486
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 May 2017
Record last updated: 7 Jul 2021

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.