| Robert E Anderson DDS Ltd | |
|
2490 Pruden Boulevard Suffolk VA 23434 | |
| (757) 934-3000 | |
| (757) 934-1200 |
| Full Name | Robert E Anderson DDS Ltd |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2490 Pruden Boulevard, Suffolk, Virginia |
| Authorized Official Name and Position | Robert Edward Anderson (PRESIDENT) |
| Authorized Official Contact | 7579343000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert E Anderson DDS Ltd 2490 Pruden Boulevard Suffolk VA 23434 Ph: (757) 934-3000 | Robert E Anderson DDS Ltd 2490 Pruden Boulevard Suffolk VA 23434 Ph: (757) 934-3000 |
| NPI Number | 1215157706 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215157706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 4978 (Virginia) | Primary |
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