Anderson, Donald G

Anderson, Donald G is an individual health care provider with primary practice located at 3105 E 98Th St Suite 130, Indianapolis IN 46280-2005. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Anderson, Donald G can be contacted via phone (317) 569-9977.

Contact Information

Primary practice address
3105 E 98Th St Suite 130 Indianapolis IN 46280-2005
Phone: (317) 569-9977
Fax: (317) 569-9988
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 12009805 Indiana

Profile Details

NPI number 1649372798
LBN Legal business name Anderson, Donald G
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Nov 18th, 2010 - about 14 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 1649372798 NPPES
Indiana Other 12009805 INDIANA DENTAL LICENSE

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