Search › Illinois › 1223G0001X
Jennifer Anderson, DDS
NPI 1699902080 · on the registry since 2009
Practice
- Address
- 208 N. Walnut Ave
Forreston, IL 61030 - Phone
- (815) 938-2575
- Fax
- (815) 938-2363
- Organisation at this address
- Shady Oak Dental Llc Oral And Maxillofacial Surgeons Of Northwest Il
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- IL, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-01-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois