| Keith Anderson Orthodontics Pllc | |
|
310 Nw John Jones Dr Suite 108 Burleson TX 76028 | |
| (817) 989-6000 | |
| (817) 484-6025 |
| Full Name | Keith Anderson Orthodontics Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 310 Nw John Jones Dr, Burleson, Texas |
| Authorized Official Name and Position | Keith Anderson (MANAGING MEMBER) |
| Authorized Official Contact | 8013101871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Anderson Orthodontics Pllc 416 Glenn Ct Burleson TX 76028-8678 Ph: (801) 310-1871 | Keith Anderson Orthodontics Pllc 310 Nw John Jones Dr Suite 108 Burleson TX 76028 Ph: (817) 989-6000 |
| NPI Number | 1720572647 |
|---|---|
| Provider Enumeration Date | 06/15/2018 |
| Last Update Date | 06/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720572647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 33776 (Texas) | Primary |
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