IndividualActive
William Anderson, DDS
NPI 1780657221 · Oral and Maxillofacial Surgery (Dentist) · Great Lakes, IL
Provider details
- NPI number
- 1780657221
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- License
- 20084 (CA)
Specialties & taxonomies
Dental Providers
Practice location
3001 6th St
Naval Hospital, Dental Directorate
Great Lakes, IL 60088-2833
Phone: (184) 768-8242
Fax: (184) 768-8440
Approximate (ZIP-level) locationGet directions
Mailing address
135 W Newbridge Ln
Round Lake, IL 60073-5645
Registry dates
- Enumerated
- 2006-02-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.