1. Home
  2. Directory
  3. Mississippi
  4. Jackson
  5. Dentist
  6. NPI Profile

ANDERSON DENTAL, LLC
NPI 1013033851
Dentist - General Practice in Jackson, MS

Active since March 22, 2007
514-D EAST WOODROW WILSON DR., JACKSON, MS 39216(601) 366-1112(601) 366-6092 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anderson Dental, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDERSON DENTAL, LLC (NPI 1013033851) is a healthcare organization registered as a general practice in Jackson, Mississippi and active in the NPI registry since March 2007. The organization lists Leon Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1013033851
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameANDERSON DENTAL, LLC
Location Address514-D EAST WOODROW WILSON DR.Jackson, MS 39216-4538
Mailing AddressP.o. Box 11277Jackson, MS 39283-1277 · (601) 366-1112 · Fax (601) 366-6092
Phone(601) 366-1112
Fax(601) 366-6092
Organization SubpartNo
Authorized OfficialLeon AndersonOwner · (601) 366-1112
Enumeration DateMarch 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1013033851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MS · MS2164-85
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
514-D EAST WOODROW WILSON DR., Jackson, MS 39216
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anderson Dental, LLC's NPI number?

The NPI number for Anderson Dental, LLC is 1013033851. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is Anderson Dental, LLC located?

Anderson Dental, LLC is located at 514-D East Woodrow Wilson Dr., Jackson, MS 39216. The listed phone number is (601) 366-1112.

What is Anderson Dental, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Anderson Dental, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.