Jeffrey Anderson, DDS
Individual provider Active NPI General Practice Dentistry · Folsom, CA
NPI 1326524596 · NPPES record last updated Jul 11, 2018
Key facts
- NPI
- 1326524596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 102607 (CA)
- Practice address
- 2304 E Bidwell St # 100
Folsom, CA 95630-3455 - Phone
- (916) 983-6767
- NPI assigned
- Jul 11, 2018
- 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 |
|---|---|---|---|
| 102607 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 102607 | CA | Yes |
Addresses
Primary practice location
2304 E Bidwell St # 100
Folsom, CA 95630-3455
Mailing address
11250 Nevada St
Redlands, CA 92373-4367
Phone (661) 474-0880
Other providers in Folsom, CA
- Julie Anna Amoruso
- Sophia Anaya
- Anderson Orthopaedic Surgery, a Professional Medical Corporation
- Alexander R Anderson
- Crystal Gregory Anderson
- Jeffrey Lee Anderson
- Shileen Andico
- Ricardo Andrade
- Reina Andreatta
- Andreoni Chiropractic Inc.
All providers in Folsom, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2018. 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.