Anderson, Richard Scott
Anderson, Richard Scott is an sole proprietor health care provider with primary practice located at 20600 Lake Chabot Rd Ste 205 , Castro Valley CA 94546-5432. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Anderson, Richard Scott can be contacted via phone (510) 538-2566.Contact Information
Primary practice address
20600 Lake Chabot Rd Ste 205
Castro Valley CA 94546-5432
Phone: (510) 538-2566
Fax: (510) 538-2770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 234665 | California |
Profile Details
| NPI number | 1598896839 |
|---|---|
| LBN Legal business name | Anderson, Richard Scott |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598896839 | NPPES |
| California | Other | 526384 | UNITED CONCORDIA PROV# |
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