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MARILYN ANDERSEN D.D.S. NPI 1174976690


NPI Information

NPI: 1174976690
Provider Name: MARILYN ANDERSEN, D.D.S.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
NAVAL MEDICAL CENTER SAN DIEGO
34800 BOB WILSON DRIVE
SAN DIEGO, CA
ZIP 92134
Phone: (619) 532-7935
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Marilyn Andersen, D.D.S. is an oral and maxillofacial surgery dentist in San Diego, CA. 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. Marilyn Andersen, D.D.S. NPI is 1174976690. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

NAVAL MEDICAL CENTER SAN DIEGO
34800 BOB WILSON DRIVE
SAN DIEGO, CA
ZIP 92134-000
Phone: (619) 532-7935

The enumeration date for this NPI number is 7/20/2016 and was last updated on 8/11/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryDDS100452CALIFORNIAYes

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: 4/28/2024

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