DR. BRUCE WILLIAM ANDERSON D.D.S. NPI 1437316569

NPI Information

  • NPI: 1437316569
  • Provider Name: DR. BRUCE WILLIAM ANDERSON, D.D.S.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 402 STEVENS ENTRY
    PEACHTREE CITY, GA
    ZIP 30269
  • Phone: (770) 487-3807

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NPI Details

DR. Bruce William Anderson, D.D.S. is an oral and maxillofacial surgery dentist in Peachtree City, GA. 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. Bruce William Anderson, D.D.S. NPI is 1437316569. 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:

402 STEVENS ENTRY
PEACHTREE CITY, GA
ZIP 30269-050
Phone: (770) 487-3807
Fax: (770) 487-1259

The NPI 1437316569 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/16/2008 and was last updated on 1/6/2009.

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
11223S0112XDentistOral and Maxillofacial SurgeryDN013826GEORGIAYes

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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