Jacob Matthew Anderson, D.D.S.

Dentist · Lees Summit, MO

Individual Active NPI

NPI number 1487063152

Practice location

300 SE 2ND St Ste 200
Lees Summit, MO 64063-2759
Phone
(816) 524-6300

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NPI record

NPI
1487063152
Entity type
Individual (Type 1)
Enumeration date
August 7, 2014
Last updated
January 2, 2021
Certified
January 2, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2014016763 MO

Other practice locations (1)

  • 652 Hamilton Rd, USA Dental Activity, Ft. Sill, OK 73503 · (580) 442-3905

About Dr. Anderson

Jacob Matthew Anderson, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 300 SE 2ND St Ste 200, Lees Summit, MO 64063-2759. The NPI number 1487063152 was assigned on August 7, 2014 and the record was last updated on January 2, 2021.

Dr. Anderson lists a license in the registry: #2014016763 (MO) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacob Matthew Anderson, D.D.S.?

The NPI number is 1487063152.

What is the phone number of Dr. Anderson?

The phone number listed for the practice location is (816) 524-6300.

Where is Dr. Anderson located?

300 SE 2ND St Ste 200, Lees Summit, MO 64063-2759.

What is the taxonomy code for Dr. Anderson?

The primary taxonomy code is 122300000X – Dentist.

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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