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NPI Code Detail

MEDICARE: DR. COREY ANDERSON DDS

MEDICARE: DR. COREY ANDERSON DDS
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 DentistryDS039435PA
21223G0001XGeneral Practice Dentistry3954WV

General Provider Information

NPI Number : 1518254382
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. COREY ANDERSON DDS
Provider Business Mailing Address
First Line : 1023 PITTSBURGH RD STE 205
Second Line :
City : UNIONTOWN
State : PA
Zip : 15401-8408
Country : US
Telephone Number : 724-430-0909
Fax Number :
Provider Business Practice Location Address
First Line : 102 TOLLEY DR
Second Line :
City : BRIDGEPORT
State : WV
Zip : 26330-1668
Country : US
Telephone Number : 304-842-1995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2011
Last Update Date : 07/31/2025

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Directions to “ DR. COREY ANDERSON DDS” Practice Location

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