Shanean Michelle Anderson DDS PA

NPI #1689019945 in Wake Forest, North Carolina

Provider Information

NPI Number: 1689019945
Entity Type: Organization
Organization Name: Shanean Michelle Anderson DDS PA
Primary Specialty: Dentist
Enumeration Date: Apr 30, 2013
Last Updated: Apr 30, 2013

Practice Location

Address: 900 S FRANKLIN ST
Address 2: SUITE 101
City: Wake Forest
State: North Carolina
ZIP Code: 27587-2799
Phone: (919) 825-1795

Authorized Official

Name: DR. SHANEAN MICHELLE ANDERSON, DDS
Title: PRESIDENT/OWNER
Phone: (919) 825-1795

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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