Anderson, David Allen
Anderson, David Allen is an sole proprietor health care provider with primary practice located at 2305 E 52Nd St Suite 1, Davenport IA 52807-2762. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Anderson, David Allen can be contacted via phone (563) 355-9424.Contact Information
Primary practice address
2305 E 52Nd St Suite 1
Davenport IA 52807-2762
Phone: (563) 355-9424
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 7637 | Iowa |
Profile Details
| NPI number | 1588637177 |
|---|---|
| LBN Legal business name | Anderson, David Allen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jul 16th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588637177 | NPPES |
| Iowa | MEDICAID | 0097766 |
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