-- JOHN S ANDERSON --
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1215387501- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 819 BLOOMINGTON RD, CHAMPAIGN, IL, 618202101
- Phone
- (217) 403-5477
- Fax
- (217) 403-5476
Specialties & Taxonomies
Dentist, General Practice
Primary License: IL #019.030678