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

DR. RUSSELL G. ANDERSON JR., D.M.D.

Active Sole Proprietor

DR. RUSSELL G. ANDERSON JR., D.M.D. is a General Dentistry healthcare provider located in KENNESAW, Georgia. NPI 1811068620 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · KENNESAW, GA

Registration Details

NPI Number: 1811068620
Provider Type: Individual
Gender: Male
NPI Issued: Nov 13, 2006 (19.717210819182 yrs)
Last Updated: Jul 8, 2007
License: 011457 (GA)
Sole Proprietor: Yes

Practice Information

Address: 1415 WOOTEN LAKE RD NW

SUITE 300

KENNESAW, GA, 301441350
Browse GA providers · Browse ZIP 30144
Phone: 7704192535
Fax: 7704190030
Primary Specialty: General Dentistry
1223G0001X

Other General Dentistry Providers in KENNESAW, GA

Name	Credential	NPI
DR. KIMBERLY M LIM	DDS	1073524765
DR. DANNY VO	DDS	1629181698
DR. PAUL ERIC DUNCAN	DMD	1124119243
DR. CHAUNCEY L CONNER	DDS	1164516977
DR. CARL CARTER EDGE III	DMD	1811067937
DR. LECHANDRE BONNER	—	1114099348

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.