Thomas Edward Anderson, DDS
Individual provider Active NPI General Practice Dentistry · Northfield, OH
NPI 1922010024 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1922010024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 30014419 (OH)
- Practice address
- 147 E Aurora Rd
Northfield, OH 44067-2054 - Phone
- (330) 467-6466
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30014419 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philip J. Znidarsic DDS, LLC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30014419 | OH | Yes |
Addresses
Primary practice location
147 E Aurora Rd
Northfield, OH 44067-2054
Mailing address
147 E Aurora Rd
Northfield, OH 44067-2054
Phone (330) 467-6466
Other providers in Northfield, OH
- Achieve Home Care Solutions
- Aegis Group Practice LLC
- Jaclyn Algaheim
- Jonetha Aasimah Ali
- Amy Smigelski
- Zipporah M. Asiago
- Kendra Barksdale
- Morgan Isaac Barnes
- Brennen E Barnett
- Jamie A Bartolovich
All providers in Northfield, OH · General Practice Dentistry in Ohio
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.