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NPI Code Detail

MEDICARE: DR. EMMA JUNE ANDERMAN DMD

MEDICARE: DR. EMMA JUNE ANDERMAN DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDS045735PA

General Provider Information

NPI Number : 1033042403
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMMA JUNE ANDERMAN DMD
Provider Business Mailing Address
First Line : 118 GRADYVILLE RD
Second Line :
City : GLEN MILLS
State : PA
Zip : 19342-1702
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 331 WILMINGTON W CHESTER PIKE
Second Line :
City : GLEN MILLS
State : PA
Zip : 19342-8210
Country : US
Telephone Number : 610-459-1344
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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