Anderson, Ammon L
Anderson, Ammon L is an sole proprietor health care provider with primary practice located at 2910 Hamilton Blvd Suite 101, Sioux City IA 51104-2423. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Anderson, Ammon L can be contacted via phone (712) 255-8017.Contact Information
Primary practice address
2910 Hamilton Blvd Suite 101
Sioux City IA 51104-2423
Phone: (712) 255-8017
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 6543 | Nebraska |
Dental Providers / Dentist | 122300000X | 1127 | Wyoming |
Dental Providers / Endodontics | 1223E0200X | 08617 | Iowa |
Profile Details
NPI number | 1760618110 |
---|---|
LBN Legal business name | Anderson, Ammon L |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 29th, 2009 |
Last updated | May 29th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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