IndividualActive
Kenneth Anderson, DDS,MS
NPI 1245316017 · Oral and Maxillofacial Pathology Dentistry · Memphis, TN
Provider details
- NPI number
- 1245316017
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- DDS,MS
- Sex
- Male
- Sole proprietor
- No
- License
- DDS8053 (TN)
Specialties & taxonomies
Dental Providers
Practice location
875 Union Ave
Room C309
Memphis, TN 38163-0001
Phone: (901) 448-5876
Fax: (901) 448-6835
Approximate (ZIP-level) locationGet directions
Mailing address
875 Union Ave Rm C309
Memphis, TN 38163-2110
Registry dates
- Enumerated
- 2006-10-27
- Last updated
- 2019-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.