Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISA ANDERSON, DDS
ActiveDR. LISA ANDERSON, DDS is a Dentist healthcare provider located in JACKSON, Wyoming. NPI 1659722940 is currently active in the NPPES registry. Verify at CMS.
Dentist · JACKSON, WY
Registration Details
- NPI Number
- 1659722940
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 28, 2016 (9.9541995978754 yrs)
- Last Updated
- Jun 28, 2024
- Licenses
-
1630 (WY)D1109 (SD)
Practice Information
- Address
-
945 W BROADWAY AVE APT 201JACKSON, WY, 830018217Browse WY providers · Browse ZIP 83001
- Phone
- 3077345200
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in JACKSON, WY
| Name | Credential | NPI |
|---|---|---|
| JAMES L DERRICO | DDS, LLC | 1891801585 |
| DR. SCOTT COBURN LARSEN | DMD | 1346343373 |
| DR. ALICE EVE L RICHTER | DDS | 1730284266 |
| DR. MICHAEL J WINE | DDS | 1245353168 |
| DR. CAROL EDWARDS OWENS | — | 1710176789 |
| DR. KURT LOWER LINFORD | D.D.S | 1881971679 |
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.