Carl David Anderson, DDS
Individual provider Active NPI General Practice Dentistry · Clinton, LA
NPI 1194732883 · NPPES record last updated Dec 16, 2016
Key facts
- NPI
- 1194732883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 3925 (LA)
- Practice address
- 12242 Silliman St
Clinton, LA 70722 - Phone
- (225) 683-5413
- Fax
- (225) 683-5111
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 3925 | LA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3925 | LA | Yes |
Addresses
Primary practice location
12242 Silliman St
Clinton, LA 70722
Mailing address
PO Box 8345
Clinton, LA 70722
Phone (225) 683-5413
Other names
- Dr. David Anderson
Other providers in Clinton, LA
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- Monica Joelle Alleman
- Shannon N Amacker
- Starlynn H Amadeo
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- Andrea'S Medical Transportation LLC
- Marie M Attuso
- Jenise Nate Aydell-Hontiveros
- Kelly Bankston
- Kelli R Barbay
All providers in Clinton, LA · General Practice Dentistry in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2016. 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.