William R. Anderson, DDS

Individual provider Active NPI General Practice Dentistry · Fort Stewart, GA

NPI 1700834892 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1700834892
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
4951-015 (WI)
Practice address
351 W 6TH St
Suite 100
Fort Stewart, GA 31314-4703
Phone
(912) 767-6735
Fax
(912) 767-5425
NPI assigned
May 4, 2006
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

LicenseStateTypeSpecialty
4951-015WIMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4951-015 WI Yes

Addresses

Primary practice location

351 W 6TH St
Suite 100
Fort Stewart, GA 31314-4703

Mailing address

351 W 6TH St
Suite 100
Fort Stewart, GA 31314-4703
Phone (912) 767-6735

Other providers in Fort Stewart, GA

All providers in Fort Stewart, GA · General Practice Dentistry in Georgia

Sources for this page

Verify at the official NPI Registry.