Thomas Martin Anderson Jr., DDS
Individual provider Active NPI General Practice Dentistry · Clemmons, NC
NPI 1104853654 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104853654
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6542 (NC)
- Practice address
- 2245 Lewisville Clemmons Rd
Suite B
Clemmons, NC 27012-7464 - Phone
- (336) 766-3377
- Fax
- (336) 766-3661
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas M Anderson DDS PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6542 | NC | Yes |
Addresses
Primary practice location
2245 Lewisville Clemmons Rd
Suite B
Clemmons, NC 27012-7464
Mailing address
2245 Lewisville Clemmons Road
Suite B
Clemmons, NC 27012
Phone (336) 766-3377
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90044 | Other | NC | BCBS |
| 979466 | Other | NC | UNITED CONCORDIA |
Other providers in Clemmons, NC
- Alder Grove Counseling Collaborative, PLLC
- Yasmine Kahok Alimena
- Allcare by May-Dann LLC
- Amanda Blackwell, PLLC
- Amy D. Foster
- Andrew W Kelly DDS PLLC
- Nicole Arnn
- Yahav Avraham-Katz
- Mary Axom
- Anna Azaglo
All providers in Clemmons, NC · General Practice Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.