Dr. JACOB DEAN ANDERSEN DMD
Individual Provider (NPI-1)
Active
Dentist
Provider Information
- NPI Number
1174109789- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD
- Status
- Active
Contact & Location
- Address
- 6264 S FM 14, HAWKINS, TX, 757654844
- Phone
- (903) 769-1606
Specialties & Taxonomies
Dentist, General Practice
License: NV #00000
Dentist
License: ID #5971582
Dentist
Primary License: TX #38676