Mark Wayne Anderson, DDS

Dentist · Fairfield, CA

Individual Active NPI

NPI number 1780716969

Practice location

995 Oliver Road
Suite 10
Fairfield, CA 94534-4349
Phone
(707) 425-0646
Fax
(707) 425-0777

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NPI record

NPI
1780716969
Entity type
Individual (Type 1)
Enumeration date
March 12, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D33437 CA

About Dr. Anderson

Mark Wayne Anderson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 995 Oliver Road, Suite 10, Fairfield, CA 94534-4349. The NPI number 1780716969 was assigned on March 12, 2007 and the record was last updated on July 8, 2007.

Dr. Anderson lists a license in the registry: #D33437 (CA) 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 Mark Wayne Anderson, DDS?

The NPI number is 1780716969.

What is the phone number of Dr. Anderson?

The phone number listed for the practice location is (707) 425-0646.

Where is Dr. Anderson located?

995 Oliver Road, Suite 10, Fairfield, CA 94534-4349.

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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