Robert Anderson Dental Corp

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

39508 Issued in CA

Legal business name

ROBERT ANDERSON DENTAL CORP

Practice address

3694 Hilborn Rd
Suite 202
Fairfield, CA 94534-7988

Phone

(707) 422-2190

NPI assigned

Jun 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert William Anderson, DDS, MSDNPI 1336368380

Title

President

Phone

(707) 422-2190

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert William Anderson, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fairfield, CA
  • NPI 1336368380
  NPD (past) Authorized official

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386841559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3694 HILBORN RD",
            "address_2": "SUITE 202",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945347988",
            "telephone_number": "707-422-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3694 HILBORN RD",
            "address_2": "SUITE 202",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945347988",
            "telephone_number": "707-422-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT ANDERSON DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-422-2190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "39508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Anthony Rivera, PT
• Simone Rivers
• Seema Rizvi, DO
• Deann K Robbins
• Robert a. Varady M.D. Inc. a Professional Corporation
• Natalia Marissa Roberts, FNP
• Tennille Renee Roberts, CAS
• Desiree Robertson
• Ashley Robins, RAD-T
• Asia Robinson

• Orthodontics and Dentofacial Orthopedics Dentistry in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.