Anderson, James Gregory

Anderson, James Gregory is an sole proprietor health care provider with primary practice located at 2130 N Charles G Seivers Blvd Ste 1 , Clinton TN 37716-6705. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Anderson, James Gregory can be contacted via phone (865) 622-4959.

Contact Information

Primary practice address
2130 N Charles G Seivers Blvd Ste 1 Clinton TN 37716-6705
Phone: (865) 622-4959
Fax: (865) 269-4336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS0000005390 Tennessee

Profile Details

NPI number 1619952314
LBN Legal business name Anderson, James Gregory
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2005
Last updated Dec 22nd, 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 1619952314 NPPES
Tennessee MEDICAID 1511863

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