MEDICARE: DR. ERIKA ANDERSON D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	0401412892	VA

General Provider Information

NPI Number	:	1992135032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIKA ANDERSON D.D.S.

Provider Business Mailing Address
First Line	:	2800 10TH ST N
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-2174
Country	:	US
Telephone Number	:	703-527-3554
Fax Number	:

Provider Business Practice Location Address
First Line	:	2800 10TH ST N
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-2174
Country	:	US
Telephone Number	:	703-527-3554
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/26/2013
Last Update Date	:	08/11/2015

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