Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER L ANDERSON, DDS
ActiveJENNIFER L ANDERSON, DDS is a General Dentistry healthcare provider located in FORRESTON, Illinois. NPI 1699902080 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · FORRESTON, IL
Registration Details
- NPI Number
- 1699902080
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2009 (17.205503291537 yrs)
- Last Updated
- Jan 3, 2013
- Licenses
-
019028537 (IL)6410 (WI)
Practice Information
- Address
-
208 N. WALNUT AVEFORRESTON, IL, 61030Browse IL providers · Browse ZIP 61030
- Phone
- 8159382575
- Fax
- 8159382363
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in FORRESTON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. KEITH R. RUTER | D.D.S. | 1295954089 |
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.