DR. JIMMIE SCOTT ANDERSON DDS NPI 1154447340

NPI Information

NPI: 1154447340
Provider Name: DR. JIMMIE SCOTT ANDERSON, DDS
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Individual
Address: 1819 E INNES ST STE 2
SALISBURY, NC
ZIP 28146
Phone: (704) 636-3611

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NPI Details

DR. Jimmie Scott Anderson, DDS is a general practice dentist in Salisbury, NC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Jimmie Scott Anderson, DDS NPI is 1154447340. 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:

1819 E INNES ST STE 2
SALISBURY, NC
ZIP 28146-030
Phone: (704) 636-3611
Fax: (704) 636-3694

The enumeration date for this NPI number is 3/21/2007 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	1223G0001X	Dentist	General Practice	6793	NORTH CAROLINA	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	Other Provider Identifier Issuer
1	1895938	OTHER	NORTH CAROLINA	UNITED CONCORDIA
2	899011E	MEDICAID	NORTH CAROLINA
3	81058849	OTHER	NORTH CAROLINA	BCBS OF ALABAMA
4	4074378	OTHER	NORTH CAROLINA	BCBS OF TENNESSEE

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: 11/21/2025

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