JOHN S ANDERSON
NPI 1215387501
Dentist - General Practice in Champaign, IL

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

Active since June 16, 2016

819 BLOOMINGTON RD, CHAMPAIGN, IL 61820(217) 403-5477(217) 403-5476 Get Directions Write a Review

NPPES record last updated: June 16, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About John S Anderson NPPES

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

JOHN S ANDERSON (NPI 1215387501) is an individual general practice provider in Champaign, Illinois, licensed in Illinois (019.030678) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1215387501

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJOHN S ANDERSON

Location Address819 BLOOMINGTON RDChampaign, IL 61820-2101

Mailing Address819 Bloomington RdChampaign, IL 61820-2101 · (217) 403-5477 · Fax (217) 403-5476

Phone(217) 403-5477

Fax(217) 403-5476

Sole ProprietorNo

Enumeration DateJune 16, 2016

✔ NPI 1215387501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019.030678

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.

819 BLOOMINGTON RD, Champaign, IL 61820

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