Mark Anderson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901011368 Issued in MI

Practice address

6011 W Pierson Rd
Flushing, MI 48433-2334

Phone

(810) 733-5566

Fax

(810) 733-6049

NPI assigned

May 9, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark Anderson, DDS, PC

  • Dentist
  • Flushing, MI
  • NPI 1174869978
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1316996010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 W PIERSON RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332334",
            "telephone_number": "810-733-5566",
            "fax_number": "810-733-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 W PIERSON RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332334",
            "telephone_number": "810-733-5566",
            "fax_number": "810-733-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARK",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901011368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Dental Care Lab LLC (True American Care LLC)
• Caleigh Amman
• Lisa Anderson-Carpentier, D.D.S.
• Carmelo Anthony Anderson
• Joseph Anderson
• Sharon Anderson
• Annuit Coeptis & Associates Inc (Active Adult Day Health)
• Annuit Coeptis & Associates Inc (Active Adult Day Health)
• Annuit Coeptis & Associates Inc (Active Adult Day Health)
• Paula M Archambault Selves, LMSW

• General Practice Dentistry in Flushing, MI
• Providers in Flushing, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.