Anderson, William R

Anderson, William R is an individual health care provider with primary practice located at 1152 S Mayo Trail , Pikeville KY 41501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Dentist. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Anderson, William R can be contacted via phone (606) 432-0805.

Contact Information

Primary practice address
1152 S Mayo Trail Pikeville KY 41501
Fax: (606) 432-2946
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 5386 Kentucky
Dental Providers / Dentist 122300000X 5386 Kentucky

Profile Details

NPI number 1245386812
LBN Legal business name Anderson, William R
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Apr 22nd, 2008 - 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 1245386812 NPPES
Kentucky Other 60053865DENTAL MEDICAID
Kentucky MEDICAID 6405386MEDICAL MEDICAID

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