Anderson Dentistry Bedford, Pllc

NPI #1942639570 in Bedford, Texas

Provider Information

NPI Number: 1942639570
Entity Type: Organization
Organization Name: Anderson Dentistry Bedford, Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: ANDERSON DENTISTRY
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 4, 2013
Last Updated: Nov 4, 2013

Practice Location

Address: 2620 HARWOOD RD
City: Bedford
State: Texas
ZIP Code: 76021-3700
Phone: (817) 267-6101

Authorized Official

Name: MR. RUSSELL DWAYNE ANDERSON, MBS, MBA
Title: BUSINESS MANAGER
Phone: (817) 247-4720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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