DR. ROGER WYNN ANDERSON DDS
NPI 1184787657
Dentist - General Practice in San Marino, CA

Q: What is Roger Anderson's NPI number?

The NPI number for Roger Anderson is 1184787657. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Q: What is Roger Anderson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Roger Anderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since December 18, 2006

1477 SAN MARINO AVENUE, SUITE 1, SAN MARINO, CA 91108(625) 796-6371(626) 449-6947 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Roger Wynn Anderson Dds NPPES

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

DR. ROGER WYNN ANDERSON DDS (NPI 1184787657) is an individual general practice provider in San Marino, California, licensed in California (33720) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1184787657

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ROGER WYNN ANDERSONCredential: DDS

Location Address1477 SAN MARINO AVENUE, SUITE 1San Marino, CA 91108-2053

Mailing Address1477 San Marino Avenue, Suite 1San Marino, CA 91108-2053 · (625) 796-6371 · Fax (626) 449-6947

Phone(625) 796-6371

Fax(626) 449-6947

Sole ProprietorNo

Enumeration DateDecember 18, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1184787657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 33720

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.

1477 SAN MARINO AVENUE, San Marino, CA 91108

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, HRI Dental & Vision, Humana and more.Insurance ›

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 Roger Anderson's NPI number?

The NPI number for Roger Anderson is 1184787657. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Roger Anderson located?

Roger Anderson practices at 1477 San Marino Avenue Suite 1, San Marino, CA 91108. The listed phone number is (625) 796-6371.

What is Roger Anderson's specialty?

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

What insurance does Roger Anderson accept?

Health plans from BEST Life, HRI Dental & Vision, Humana, Paramount and Renaissance Dental and 1 other insurer list Roger Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roger Anderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.