DR. DOUGLAS ROBERT ANDERSON D.D.S. NPI 1700999026

NPI Information

NPI: 1700999026
Provider Name: DR. DOUGLAS ROBERT ANDERSON, D.D.S.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
141 S 6TH ST
COLUMBUS, OH
ZIP 43215
Phone: (614) 224-1942
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DR. Douglas Robert Anderson, D.D.S. is an oral and maxillofacial surgery dentist in Columbus, OH. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Douglas Robert Anderson, D.D.S. NPI is 1700999026. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

141 S 6TH ST
COLUMBUS, OH
ZIP 43215-607
Phone: (614) 224-1942
Fax: (614) 224-1527

The enumeration date for this NPI number is 8/17/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	30-01-4637	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	AN0490691	MEDICARE ID-TYPE UNSPECIFIED
2	0320325	MEDICAID	OHIO
3	T47246	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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