RICHARD ANDERSON DDS NPI 1700029303

NPI Information

  • NPI: 1700029303
  • Provider Name: RICHARD ANDERSON DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 90 DOCTORS PARK DRIVE
    SANTA ROSA, CA
    ZIP 95405
  • Phone: (707) 545-0944

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NPI Details

RICHARD ANDERSON DDS is a general practice dentist in Santa Rosa, CA. 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. RICHARD ANDERSON DDS NPI is 1700029303. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

90 DOCTORS PARK DRIVE
SANTA ROSA, CA
ZIP 95405-998
Phone: (707) 545-0944
Fax: (707) 545-0947

The provider's authorized official is Richard Paul Anderson .
The authorized official title is President and has the following contact phone number (707) 545-0944.

The enumeration date for this NPI number is 4/13/2009 and was last updated on 4/13/2009.

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
11223G0001XDentistGeneral Practice58008CALIFORNIAYes

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
11265558605OTHERCALIFORNIANPPES

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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