L. Eric Anderson
Individual provider Active NPI General Practice Dentistry · West Des Moines, IA
NPI 1912928375 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1912928375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 8004 (IA)
- Practice address
- 2501 Westown Pkwy
West Des Moines, IA 50266-1438 - Phone
- (515) 276-8572
- Fax
- (515) 334-7274
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 8004 | IA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8004 | IA | Yes |
Addresses
Primary practice location
2501 Westown Pkwy
West Des Moines, IA 50266-1438
Mailing address
8232 Chambery Blvd
Johnston, IA 50131-8773
Phone (515) 270-2270
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22249 | Other | IA | WELLMARK BCBS |
Other providers in West Des Moines, IA
- Britta M Anderson
- Hannah Anderson
- Jeffrey Dean Anderson
- Kate Kristina Anderson
- Kenneth W Anderson
- Maria Jose Andonie
- Andrew Schuplin LMHC LLC
- Jaclyn Roz Andrick
- Angela Hunt Counseling & Consulting
- Angels in the Home, LLC
All providers in West Des Moines, IA · General Practice Dentistry in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.