La Anderson & Associates PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6793 Issued in NC

Legal business name

LA ANDERSON & ASSOCIATES PLLC

Doing business as

Anderson Dental Group

Practice address

411 E Statesville Ave
Mooresville, NC 28115-2533

Phone

(704) 663-3300

Fax

(704) 663-0188

NPI assigned

Jan 18, 2007

Last updated

Oct 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jimmie Anderson, DDS

Title

President

Phone

(704) 663-3300

Specialties & licenses 1

Addresses

Other names 1

• Anderson Dental Group Doing business as

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1902959646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E STATESVILLE AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152533",
            "telephone_number": "704-663-3300",
            "fax_number": "704-663-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E STATESVILLE AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152533",
            "telephone_number": "704-663-3300",
            "fax_number": "704-663-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA ANDERSON & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JIMMIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-663-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jackie Kurtz, LPC
• Lynne M Kushnirenko, D.C.
• William Alvin Kutner Jr., MD
• Sara E Kuzma, LCMHCA
• L a Lorenzo MD Pathology Consult Services P a
• Andrea Jo Ladowski, MSOTR/L
• Kathleen Wilkin Lagesse, AGNP-C
• Patrick Jacques Laguerre, M.D.
• Lake Breeze ENT & Allergy PC
• Lake Norman Anesthesia Associates

• General Practice Dentistry in Mooresville, NC
• Providers in Mooresville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.