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DR. BRUCE NELSON ANDERSON D.M.D.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1649464207

Individual Registrant:
DR. BRUCE NELSON ANDERSON D.M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
16 HIGHLAND RD  WAREHAM, MA 02571-1409 US
Tel: 508-728-9818  Fax: --

Contact information for business:
PO BOX 473  MATTAPOISETT, MA 02739-0473 US
Tel: 508-728-9818  Fax: --

Registration Information:
NPI: 1649464207
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
MA12626

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
0243973MA05




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