Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROGER WYNN ANDERSON, DDS
ActiveDR. ROGER WYNN ANDERSON, DDS is a General Dentistry healthcare provider located in SAN MARINO, California. NPI 1184787657 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SAN MARINO, CA
Registration Details
- NPI Number
- 1184787657
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 18, 2006 (19.473906986271 yrs)
- Last Updated
- Jul 8, 2007
- License
-
33720 (CA)
Practice Information
- Address
-
1477 SAN MARINO AVENUESUITE 1SAN MARINO, CA, 911082053Browse CA providers · Browse ZIP 91108
- Phone
- 6257966371
- Fax
- 6264496947
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SAN MARINO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. TIN HOANG NGUYEN | D.D.S. | 1336290865 |
| DR. RONALD PHILIP ESTRADA | D.D.S. | 1043498728 |
| DR. KENNETH RICHARD STROUD | D.D.S. | 1780833319 |
| DR. JACK GLEATON HAMILTON JR. | D.D.S. | 1548529555 |
| MYUNGJIN SOHN | DDS | 1184351967 |
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.