IndividualActive
Kellie Anderson, CDA, EFDA
NPI 1912266438 · Dental Assistant · Salem, OR
Provider details
- NPI number
- 1912266438
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Credential
- CDA, EFDA
- Sex
- Female
- Sole proprietor
- No
- License
- 120376 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2300 Lancaster Dr Ne
Salem, OR 97305-1223
Phone: (503) 370-4313
Fax: (503) 375-5737
Approximate (ZIP-level) locationGet directions
Mailing address
2300 Lancaster Dr Ne
Salem, OR 97305-1223
Registry dates
- Enumerated
- 2012-05-04
- Last updated
- 2012-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.