Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. John Fred Anderson Jr., DDS, MD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1780123216

Dr. John Fred Anderson Jr., DDS, MD is an Oral and Maxillofacial Surgery (Dentist) in Pacific Palisades, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

17093 Palisades Cir
Pacific Palisades, CA 90272-2139
Phone: (310) 717-6456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DDS108647 (CA)

Record details

NPI number1780123216
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MD
Sole proprietorYes
NPI enumeratedFebruary 16, 2017
Last updated in NPPESJuly 19, 2023
Certification dateJuly 19, 2023

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