Keith Anderson, D.D.S.
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Burleson, TX
NPI 1295196566 · NPPES record last updated Oct 8, 2025
Key facts
- NPI
- 1295196566
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 33776 (TX)
- Practice address
- 310 NW John Jones Dr Ste 108
Burleson, TX 76028-5708 - Phone
- (817) 989-6000
- Fax
- (817) 484-6025
- NPI assigned
- Mar 15, 2016
- 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 |
|---|---|---|---|
| 33776 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keith Anderson Orthodontics PLLC | Orthodontics and Dentofacial Orthopedics | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 33776 | TX | Yes |
Addresses
Primary practice location
310 NW John Jones Dr Ste 108
Burleson, TX 76028-5708
Mailing address
310 NW John Jones Dr Ste 108
Burleson, TX 76028-5708
Phone (817) 989-6000
Other providers in Burleson, TX
- Thomas Seth Ammon
- Alex Picton Ampoe
- An'Cor Home Health Group, Inc
- Aubrey Ciara Anderson
- Keasya Anderson
- Lacey Paulett Anderson
- Madelyn Anderson
- Sherrell Anderson
- Mukhtar Anees
- Angelo Vu DO PA
All providers in Burleson, TX · Orthodontics and Dentofacial Orthopedics Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2025. 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.