Wendell Gross Anderson, DMD
Individual provider Active NPI General Practice Dentistry · Wareham, MA
NPI 1144484171 · NPPES record last updated Jul 18, 2008
Key facts
- NPI
- 1144484171
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 14481 (MA)
- Practice address
- 152 High St
Wareham, MA 02571 - Phone
- (508) 295-2111
- Fax
- (508) 295-5186
- NPI assigned
- Jul 18, 2008
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14481 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Dental Assoc of Wareham | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14481 | MA | Yes |
Addresses
Primary practice location
152 High St
Wareham, MA 02571
Mailing address
152 High St
Gateway Dental Assoc of Wareham
Wareham, MA 02571
Phone (508) 295-2111
Other providers in Wareham, MA
- Ashley L Albano
- Pilar Alonso
- Amy Gleason Wiegandt
- Bruce Nelson Anderson
- Michelle L Anderson
- Dante Jay Andrade
- Shannon Joy Antonio
- Aras House of Beauty
- Andrew Arone
- Elise Arsenault
All providers in Wareham, MA · General Practice Dentistry in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2008. 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.