DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACOB MATTHEW ANDERSON, D.D.S.

Active Sole Proprietor

Dentist · LEES SUMMIT, MO

Registration Details

NPI Number
1487063152
Provider Type
Individual
Gender
Male
NPI Issued
Aug 7, 2014 (11.704762155002 yrs)
Last Updated
Jan 2, 2021
License
2014016763 (MO)
Sole Proprietor
Yes

Practice Information

Address
300 SE 2ND ST STE 200
LEES SUMMIT, MO, 640632759
Browse MO providers · Browse ZIP 64063
Phone
8165246300
Primary Specialty
Dentist
122300000X

Other Dentist Providers in LEES SUMMIT, MO

Name Credential NPI
DR. EDWARD JOHN BAZAR III D.M.D. 1386631703
DR. PATRICIA LEE ROTH-DOHNALEK DDS 1295713311
DR. DHYANESH SURESH D.D.S 1942220595
MS. JOAN ROULSTON WALKER DDS 1851303572
DR. SONAL VEERAL BHOOT DMD 1831204098
SHEILA R JUNGMEYER DDS 1467567396
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.