DR. MATTHEW ROSS ANDERSON D.M.D. NPI 1073864963

NPI Information

  • NPI: 1073864963
  • Provider Name: DR. MATTHEW ROSS ANDERSON, D.M.D.
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Individual
  • Address: 14400 NE 20TH AVE STE 100
    VANCOUVER, WA
    ZIP 98686
  • Phone: (360) 576-5066

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NPI Details

DR. Matthew Ross Anderson, D.M.D. is an endodontics dentist in Vancouver, WA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. DR. Matthew Ross Anderson, D.M.D. NPI is 1073864963. 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:

14400 NE 20TH AVE STE 100
VANCOUVER, WA
ZIP 98686-412
Phone: (360) 576-5066

The enumeration date for this NPI number is 10/2/2012 and was last updated on 5/10/2021.

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
1122300000XDentist8418211-9921UTAHNo
21223E0200XDentistEndodonticsD11375OREGONNo
3390200000XStudent in an Organized Health Care Education/Training Program8418211-9921UTAHNo
41223E0200XDentistEndodonticsDE60944562WASHINGTONYes

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: 3/30/2025

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