Healthcare Provider Details

I. General information

NPI: 1871252585
Provider Name (Legal Business Name): JAMES ANDERSON PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2021
Last Update Date: 12/09/2021
Certification Date: 12/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

613 SAMISH SPRINGS DR
BELLINGHAM WA
98229-7882
US

IV. Provider business mailing address

613 SAMISH SPRINGS DR
BELLINGHAM WA
98229-7882
US

V. Phone/Fax

Practice location:
  • Phone: 360-318-6811
  • Fax:
Mailing address:
  • Phone: 360-318-6811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122400000X
TaxonomyDenturist
License Number
License Number State

VIII. Authorized Official

Name: JAMES ANDERSON
Title or Position: OWNER
Credential:
Phone: 360-318-6811