Jared R. Anderson DDS PC

General Practice Dentistry · Redmond, OR

Organization Active NPI

NPI number 1124020920

Practice location

774 SW Rimrock Dr
Redmond, OR 97756-1941
Phone
(541) 923-7633
Fax
(541) 923-8733

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NPI record

NPI
1124020920
Entity type
Organization (Type 2)
Enumeration date
August 11, 2005
Last updated
August 30, 2016
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D6510C OR

Authorized official

Name
Dr. Jared R. Anderson, DDS
Title
Owner/Operator
Phone
(541) 923-7633

About Jared R. Anderson DDS PC

Jared R. Anderson DDS PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 774 SW Rimrock Dr, Redmond, OR 97756-1941. The NPI number 1124020920 was assigned on August 11, 2005 and the record was last updated on August 30, 2016.

Jared R. Anderson DDS PC lists a license in the registry: #D6510C (OR) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Jared R. Anderson, DDS, Owner/Operator.

Frequently asked questions

What is the NPI number of Jared R. Anderson DDS PC?

The NPI number is 1124020920.

What is the phone number of Jared R. Anderson DDS PC?

The phone number listed for the practice location is (541) 923-7633.

Where is Jared R. Anderson DDS PC located?

774 SW Rimrock Dr, Redmond, OR 97756-1941.

What is the taxonomy code for Jared R. Anderson DDS PC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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