Anderson, David Lee

Anderson, David Lee is an sole proprietor health care provider with primary practice located at 2081 W Ridge Rd Suite 101, Rochester NY 14626-2724. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Anderson, David Lee can be contacted via phone (585) 227-0800.

Contact Information

Primary practice address
2081 W Ridge Rd Suite 101 Rochester NY 14626-2724
Fax: (585) 227-0802
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 046225 New York

Profile Details

NPI number 1417906249
LBN Legal business name Anderson, David Lee
Credentials D.D.S., M.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2006
Last updated Dec 3rd, 2015 - about 9 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 1417906249 NPPES
New York Other 204778210 GREECE ORAL SURGERY FEIN

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