Anderson, Matthew Ross

Anderson, Matthew Ross is an individual health care provider with primary practice located at 14400 Ne 20Th Ave Ste 100 , Vancouver WA 98686-1412. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Endodontics is his primary health care specialty. Anderson, Matthew Ross can be contacted via phone (360) 576-5066.

Contact Information

Primary practice address
14400 Ne 20Th Ave Ste 100 Vancouver WA 98686-1412
Phone: (360) 576-5066
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 8418211-9921 Utah
Dental Providers / Endodontics 1223E0200X D11375 Oregon
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 8418211-9921 Utah
Dental Providers / Endodontics 1223E0200X DE60944562 Washington

Profile Details

NPI number 1073864963
LBN Legal business name Anderson, Matthew Ross
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2012
Last updated May 10th, 2021 - about 3 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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