Anderson, Marvin Paul
Anderson, Marvin Paul is an individual health care provider with primary practice located at Us Army Dental Activity 10205 N Riva Ridge Loop, Fort Drum NY 13602-5005. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Anderson, Marvin Paul can be contacted via phone (315) 772-4342.Contact Information
Primary practice address
Us Army Dental Activity 10205 N Riva Ridge Loop
Fort Drum NY 13602-5005
Phone: (315) 772-4342
Fax: (315) 772-9692
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN 13813 | Florida |
Profile Details
| NPI number | 1962487926 |
|---|---|
| LBN Legal business name | Anderson, Marvin Paul |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2005 |
| 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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