Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHON HENNING ANDERSON, DDS
DeactivatedJONATHON HENNING ANDERSON, DDS is a Oral & Maxillofacial Surgery healthcare provider located in BIRMINGHAM, Michigan. NPI 1811979719 is deactivated in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · BIRMINGHAM, MI
This NPI has been deactivated.
The record was deactivated on September 24, 2018.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1811979719
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 16, 2005 (12.854794520548 yrs)
- Last Updated
- Oct 15, 2018
- Deactivated
- Sep 24, 2018
- License
-
2901012981 (MI)
Practice Information
- Address
-
555 S OLD WOODWARD AVE STE 777BIRMINGHAM, MI, 480096618Browse MI providers · Browse ZIP 48009
- Phone
- 2486474700
- Fax
- 2486474730
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
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.