Dr. Douglas Taylor Anderson
Dentist Dental Public Health
552 S Washington St Suite 220
Naperville
, Illinois 60540-6658
Dr. Douglas Taylor Anderson
Dentist Dental Public Health
552 S Washington St Suite 220
Naperville
, Illinois 60540-6658
(630) 357-2525
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About
Features
Specialties
- Dentist
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Douglas Taylor Anderson
- 552 S Washington St Suite 220
- Naperville, IL
- Zip : 60540-6670
- Phone : (630) 357-2525
Second Address
- Dr. Douglas Taylor Anderson
- 552 S Washington St Suite 220
- Naperville, IL
- Zip : 60540-6658
- Phone : (630) 357-2525
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 122300000X | Dentist | 019018954 | IL |
| N | 1223D0001X | Dental Public Health | 019018954 | IL |
National Provider Identifier
| NPI | 1245400738 |
|---|---|
| Provider Name | Dr. Douglas Taylor Anderson |
| First Address | Naperville, IL 60540-6670 |
| Second Address | Naperville, IL 60540-6658 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/03/2008 |
| Last Update Date | 22/05/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.