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DR. JEFFERY DEAN ANDERSEN D.D.S

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1851481733

Individual Registrant:
DR. JEFFERY DEAN ANDERSEN D.D.S
Gender: M
Sole Proprietor

Location and contact information for practice:
3367 BUCKSKIN RD.  OVERGAARD, AZ 85933-0100 US
Tel: 928-535-5886  Fax: 928-535-5887

Contact information for business:
PO BOX 100  OVERGAARD, AZ 85933-0100 US
Tel: 928-535-5886  Fax: 928-535-5887

Registration Information:
NPI: 1851481733
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
AZD6578

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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