ANDERSON & SHEPPARD INC. NPI 1619021540

NPI Information

  • NPI: 1619021540
  • Provider Name: ANDERSON & SHEPPARD, INC.
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 3650 COLONIAL AVENUE, SW
    ROANOKE, VA
    ZIP 24018
  • Phone: (540) 989-3639

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NPI Details

ANDERSON & SHEPPARD, INC. is a pediatric dentistry dentist in Roanoke, VA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. ANDERSON & SHEPPARD, INC. NPI is 1619021540. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3650 COLONIAL AVENUE, SW
ROANOKE, VA
ZIP 24018-004
Phone: (540) 989-3639
Fax: (540) 989-4749

The provider's authorized official is A. Scott Anderson .
The authorized official title is President and has the following contact phone number 15409893639.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 12/12/2016.

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
11223P0221XDentistPediatric Dentistry5342VIRGINIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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