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General NPI Number Information
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NPI Number | 1376759399
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Entity Type | Organization
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Legal Business Name | ANDERSON GENERAL DENTISTRY ASSOCIATES, P.C.
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2000 E GREENVILLE ST SUITE 3200
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City | ANDERSON
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State | SC
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Zip | 29621-1580
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Country | US
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Telephone | 864-716-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 E GREENVILLE ST SUITE 3200
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City | ANDERSON
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State | SC
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Zip | 29621-1580
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Country | US
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Telephone | 864-716-6400
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Fax | 864-716-6161
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT E. HERRING
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Credential | D.M.D.
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Telephone | 864-716-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3263 AND 3265
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License Number State | SC
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