William R Anderson DMD PSC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

5386 Issued in KY

Legal business name

WILLIAM R ANDERSON DMD PSC

Practice address

972 Broadway Plaza
Paintsville, KY 41240

Phone

(606) 789-1912

Fax

(606) 789-1939

NPI assigned

Feb 23, 2007

Last updated

Mar 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William R Anderson, DMDNPI 1245386812

Title

President

Phone

(606) 789-1912

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William R Anderson, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Pikeville, KY
  • NPI 1245386812
  NPD (past) Authorized official

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1295861524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 BROADWAY PLAZA",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "41240",
            "telephone_number": "606-789-1912",
            "fax_number": "606-789-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 BROADWAY PLAZA",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "41240",
            "telephone_number": "606-789-1912",
            "fax_number": "606-789-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R ANDERSON DMD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-789-1912",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "KY",
            "license": "5386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64053861",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60053865",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Webb
• Tammy Webb, ARNP
• Jaime Welch, BA
• Whitaker National Corporation
• Krystal Wicker
• Cathy Joan Witten, SLP
• Jansen Nicole Wolfe, DPT
• L. Keith Woody, DMD
• Karolina Wrzeszcz-Onyenma, MD
• Amanda Susanne Young, PHARM D

• Oral & Maxillofacial Surgery (D.M.D.) in Paintsville, KY
• Providers in Paintsville, KY by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.