John S Anderson
John S Anderson is a General Practice Dentistry in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2016.
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
819 Bloomington RdChampaign, IL 61820-2101
Phone: (217) 403-5477
Fax: (217) 403-5476
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 019.030678 (IL) |
|---|
Record details
| NPI number | 1215387501 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 16, 2016 |
| Last updated in NPPES | June 16, 2016 |
| Mailing address | 819 Bloomington Rd, Champaign, IL 61820-2101 |
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