Anderson, Jimmie Scott

Anderson, Jimmie Scott is an individual health care provider with primary practice located at 1819 E Innes St Ste 2 , Salisbury NC 28146-6030. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Anderson, Jimmie Scott can be contacted via phone (704) 636-3611.

Contact Information

Primary practice address
1819 E Innes St Ste 2 Salisbury NC 28146-6030
Phone: (704) 636-3611
Fax: (704) 636-3694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6793 North Carolina

Profile Details

NPI number 1154447340
LBN Legal business name Anderson, Jimmie Scott
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
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 1154447340 NPPES
North Carolina Other 1895938 UNITED CONCORDIA
North Carolina Other 81058849 UNITED CONCORDIA
North Carolina Other 4074378 UNITED CONCORDIA
North Carolina MEDICAID 899011E UNITED CONCORDIA

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