IndividualActive
A Anderson, D.D.S.
NPI 1306800503 · Pediatric Dentistry · Roanoke, VA
Provider details
- NPI number
- 1306800503
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 0401005342 (VA)
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Registry dates
- Enumerated
- 2006-04-14
- Last updated
- 2023-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.