Robert E. Anderson, DDS, PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

1729 Issued in AR

Legal business name

ROBERT E. ANDERSON, DDS, PA

Practice address

1 Saint Vincent Cir Ste 240
Little Rock, AR 72205-5407

Phone

(501) 664-3900

Fax

(501) 663-6076

NPI assigned

Dec 17, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert E Anderson, DDS

Title

Oral & Maxillofacial Surgeon

Phone

(501) 664-3900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bob E. Anderson, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Little Rock, AR
  • NPI 1780690065
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1003052234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SAINT VINCENT CIR STE 240",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055407",
            "telephone_number": "501-664-3900",
            "fax_number": "501-663-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT VINCENT CIR STE 240",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055407",
            "telephone_number": "501-664-3900",
            "fax_number": "501-663-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E. ANDERSON, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ORAL & MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "501-664-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AR",
            "license": "1729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127328679",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Will Ray Robbins, MD
• Ayanna Roberson
• Michael C Roberson, MD
• Russell Roberson, M.D.
• Vanessa Roberson, RD, LD
• Robert E. Casali, M.D., P.a.
• Robert L. Tramel, DDS, PLLC
• Robert Lee Fleming Professional LLC
• Robert Lyon Berry M.D.
• Robert S. Maris PH.D., P.a.

• Oral and Maxillofacial Surgery (Dentist) in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.