DR. RUSSELL ANDERSON JR., D.M.D.
Dentist - General Practice
Active
Individual
NPI: 1811068620
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 011457 (GA) |
Frequently Asked Questions
NPI 1811068620 is the National Provider Identifier for DR. RUSSELL ANDERSON JR., D.M.D., a Dentist - General Practice provider located in Kennesaw, GA. This NPI was enumerated on November 13, 2006.
DR. RUSSELL ANDERSON JR., D.M.D. practices at 1415 WOOTEN LAKE RD NW, SUITE 300, Kennesaw, GA 30144.
Quick Facts
- NPI
- 1811068620
- Type
- Individual
- Enumerated
- Nov 13, 2006
- Last Updated
- Jul 8, 2007
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