Individual provider Active NPI

Isabella Anderson, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Fort Stewart, GA
National Provider Identifier
1861971335
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN23759 Issued in FL
Practice address
USA Dental Activity, Hospital Dental Clinic
1061 Harmon Ave
Ft Stewart, GA 31314
Phone
(571) 802-0377
NPI assigned
Aug 7, 2018
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN23759 FL Primary

Addresses

Primary practice location

USA Dental Activity, Hospital Dental Clinic
1061 Harmon Ave
Ft Stewart, GA 31314

Mailing address

14 Benedictine Retreat
Savannah, GA 31411-1624
Phone (706) 399-3633

Other practice location 1

Meddac-K/TMC
ATTN: Dental, Unit #15609
Apo, AP 96224
Phone (954) 871-5456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN23759FLMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1861971335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BENEDICTINE RETREAT",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314111624",
            "telephone_number": "706-399-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USA DENTAL ACTIVITY, HOSPITAL DENTAL CLINIC",
            "address_2": "1061 HARMON AVE",
            "city": "FT STEWART",
            "state": "GA",
            "postal_code": "31314",
            "telephone_number": "571-802-0377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Meddac-K/TMC",
            "address_2": "ATTN: Dental, Unit #15609",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AP",
            "postal_code": "96224",
            "country_code": "US",
            "telephone_number": "954-871-5456",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ISABELLA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN23759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Stewart, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.