Anderson, Shawn R

Anderson, Shawn R is an individual health care provider with primary practice located at 25109 Jefferson Ave #220, Murrieta CA 92562-8116. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Anderson, Shawn R can be contacted via phone (951) 514-7377.

Contact Information

Primary practice address
25109 Jefferson Ave #220 Murrieta CA 92562-8116
Phone: (951) 514-7377
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X D008275 Arizona
Dental Providers / Endodontics 1223E0200X 57725 California

Profile Details

NPI number 1770504235
LBN Legal business name Anderson, Shawn R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated May 12th, 2014 - about 10 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 1770504235 NPPES
Nevada MEDICAID 100509660

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