Healthcare Provider Details

I. General information

NPI: 1568502219
Provider Name (Legal Business Name): ASHLEY E ANDERSON DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5699 INNOVATION DR
DUBLIN OH
43016-3312
US

IV. Provider business mailing address

5699 INNOVATION DR
DUBLIN OH
43016-3312
US

V. Phone/Fax

Practice location:
  • Phone: 614-215-9488
  • Fax: 614-215-9844
Mailing address:
  • Phone: 614-215-9488
  • Fax: 614-215-9844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30022365
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number30022365
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: