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
Phone: (606) 432-0805
Fax: (606) 432-2946
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245386812 | NPPES |
Kentucky | Other | 60053865DENTAL | MEDICAID |
Kentucky | MEDICAID | 6405386MEDICAL | MEDICAID |
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