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General NPI Number Information
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NPI Number | 1760043202
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Entity Type | Individual
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Provider Name | CRAIG W ANDERSON DMD
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Gender | Male
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Dates
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Enumeration Date | 06/25/2019
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 1275 S CEDAR CREST BLVD STE 1
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City | ALLENTOWN
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State | PA
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Zip | 18103-6242
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Country | US
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Telephone | 612-624-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 1321 N NEW ST
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City | BETHLEHEM
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State | PA
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Zip | 18018-2400
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Country | US
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Telephone | 610-861-7406
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DS044511
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License Number State | PA
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