Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN FRED ANDERSON JR., DDS, MD
Active Sole ProprietorDR. JOHN FRED ANDERSON JR., DDS, MD is a Oral & Maxillofacial Surgery healthcare provider located in PACIFIC PALISADES, California. NPI 1780123216 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · PACIFIC PALISADES, CA
Registration Details
- NPI Number
- 1780123216
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 16, 2017 (9.4478780901424 yrs)
- Last Updated
- Jul 19, 2023
- License
-
DDS108647 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17093 PALISADES CIRPACIFIC PALISADES, CA, 902722139Browse CA providers · Browse ZIP 90272
- Phone
- 3107176456
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in PACIFIC PALISADES, CA
| Name | Credential | NPI |
|---|---|---|
| DR. MAX PAUL MONCAYO | DDS | 1588636310 |
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.