MEDICARE: DAVID ADKIN ANDERSON D.D.S.

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
1	1223P0700X	Prosthodontics	DS022721L	PA

General Provider Information

NPI Number	:	1568457877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ADKIN ANDERSON D.D.S.

Provider Business Mailing Address
First Line	:	4201 BUTLER ST
Second Line	:	SUITE 100
City	:	PITTSBURGH
State	:	PA
Zip	:	15201-3132
Country	:	US
Telephone Number	:	412-687-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	4201 BUTLER ST
Second Line	:	SUITE 100
City	:	PITTSBURGH
State	:	PA
Zip	:	15201-3132
Country	:	US
Telephone Number	:	412-687-8200
Fax Number	:	412-687-8201

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	10/01/2007

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