| Anderson Dental Group | |
|
712 N Beeline Hwy Payson AZ 85541-3706 | |
| (928) 474-4581 | |
| Not Available |
| Full Name | Anderson Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 712 N Beeline Hwy, Payson, Arizona |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anderson Dental Group 712 N Beeline Hwy Payson AZ 85541-3706 Ph: (928) 474-4581 | Anderson Dental Group 712 N Beeline Hwy Payson AZ 85541-3706 Ph: (928) 474-4581 |
| NPI Number | 1982373064 |
|---|---|
| Provider Enumeration Date | 09/10/2021 |
| Last Update Date | 09/10/2021 |
| Certification Date | 08/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982373064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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