Anderson, Clifford Virgil

Anderson, Clifford Virgil is an individual health care provider with primary practice located at 4240 Blue Ridge Blvd Suite 800, Kansas City MO 64133. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Anderson, Clifford Virgil can be contacted via phone (816) 353-7200.

Contact Information

Primary practice address
4240 Blue Ridge Blvd Suite 800 Kansas City MO 64133
Phone: (816) 353-7200
Fax: (816) 353-5162
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 12006 Missouri

Profile Details

NPI number 1336193952
LBN Legal business name Anderson, Clifford Virgil
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336193952 NPPES
Missouri Other 05270011 BLUE CROSS BLUE SHIELD
Missouri Other 144566 BLUE CROSS BLUE SHIELD

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