Healthcare Provider Details

I. General information

NPI: 1033042403
Provider Name (Legal Business Name): EMMA JUNE ANDERMAN DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 WILMINGTON W CHESTER PIKE
GLEN MILLS PA
19342-8210
US

IV. Provider business mailing address

118 GRADYVILLE RD
GLEN MILLS PA
19342-1702
US

V. Phone/Fax

Practice location:
  • Phone: 610-459-1344
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS045735
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: