Provider Demographics
NPI:1568457877
Name:ANDERSON, DAVID ADKIN (DDS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:ADKIN
Last Name:ANDERSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4201 BUTLER ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15201-3132
Mailing Address - Country:US
Mailing Address - Phone:412-687-8200
Mailing Address - Fax:
Practice Address - Street 1:4201 BUTLER ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15201-3132
Practice Address - Country:US
Practice Address - Phone:412-687-8200
Practice Address - Fax:412-687-8201
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS022721L1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics