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DR. JEFFERY DEAN ANDERSEN D.D.S
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1851481733
Individual Registrant:DR. JEFFERY DEAN ANDERSEN D.D.S
Gender: M
Sole Proprietor
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
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
Tel: 928-535-5886 Fax: 928-535-5887
Registration Information:
NPI: 1851481733
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | AZ | D6578 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
