Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THEODORE MICHAEL ANDERSON, DMD
ActiveTHEODORE MICHAEL ANDERSON, DMD is a Oral & Maxillofacial Surgery healthcare provider located in SHEBOYGAN, Wisconsin. NPI 1134178163 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · SHEBOYGAN, WI
Registration Details
- NPI Number
- 1134178163
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 8, 2006 (20.241595548165 yrs)
- Last Updated
- Jan 6, 2009
- License
-
4516015 (WI)
Practice Information
- Address
-
3637 WILGUS AVENUESHEBOYGAN, WI, 53081Browse WI providers · Browse ZIP 53081
- Phone
- 9204588213
- Fax
- 9204599797
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in SHEBOYGAN, WI
| Name | Credential | NPI |
|---|---|---|
| JOHN JAY KELLER | DDS | 1952350738 |
| WADE THOMAS SCHULTZ | DDS MD | 1710929823 |
| TYLER KALMUCK | D.D.S. | 1063869485 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.