Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan Anderson

Individual provider Dental Hygienist · NPI 1407584014

Jonathan Anderson is a Dental Hygienist in Gillespie, Illinois. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022

Practice location Address checks out

109 E Maple St
Gillespie, IL 62033-1473
Phone: (217) 839-4110
Fax: (217) 839-1538
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 020015714 (IL)

Record details

NPI number1407584014
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 11, 2022
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022
Mailing address205 Oakland Ave, Carlinville, IL 62626-1921

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