Douglas Lee Andersen, D.D.S.

General Practice Dentistry · Thousand Oaks, CA

Individual Active NPI

NPI number 1700903572

Practice location

386 Lombard St
Thousand Oaks, CA 91360-5808
Phone
(805) 496-1091

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NPI record

NPI
1700903572
Entity type
Individual (Type 1)
Enumeration date
March 24, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 24529 CA

About Dr. Andersen

Douglas Lee Andersen, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 386 Lombard St, Thousand Oaks, CA 91360-5808. The NPI number 1700903572 was assigned on March 24, 2007 and the record was last updated on July 8, 2007.

Dr. Andersen lists a license in the registry: #24529 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Douglas Lee Andersen, D.D.S.?

The NPI number is 1700903572.

What is the phone number of Dr. Andersen?

The phone number listed for the practice location is (805) 496-1091.

Where is Dr. Andersen located?

386 Lombard St, Thousand Oaks, CA 91360-5808.

What is the taxonomy code for Dr. Andersen?

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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