DR. SCOTT WILLIAM ANDERSON DDS
NPI 1316019433
Dentist - General Practice in Peoria, IL

Q: What is Scott Anderson's NPI number?

The NPI number for Scott Anderson is 1316019433. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Q: What is Scott 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 Scott 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 November 14, 2006

521 W LAKE AVE, PEORIA, IL 61614(309) 682-0770(309) 682-7259 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Scott William Anderson Dds NPPES

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

DR. SCOTT WILLIAM ANDERSON DDS (NPI 1316019433) is an individual general practice provider in Peoria, Illinois and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1316019433

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SCOTT WILLIAM ANDERSONCredential: DDS

Location Address521 W LAKE AVEPeoria, IL 61614-6020

Mailing Address521 W Lake AvePeoria, IL 61614-6020 · (309) 682-0770 · Fax (309) 682-7259

Phone(309) 682-0770

Fax(309) 682-7259

Sole ProprietorYes

Enumeration DateNovember 14, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1316019433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

521 W LAKE AVE, Peoria, IL 61614

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAUL & DR. ANDERSON, DENTAL PC

Dentist (General Practice)

521 W LAKE AVE
PEORIA, IL 61614

Peoria County (309) 682-0770

DR. ROGER LOUIS PAUL DMD

Dentist (General Practice)

521 W LAKE AVE
PEORIA, IL 61614

Peoria County (309) 682-0770

SMALLTOWN DENTAL RIVER CITY PLLC

Dentist (General Practice)

521 W LAKE AVE
PEORIA, IL 61614

Peoria County (309) 682-0770

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 Scott Anderson's NPI number?

The NPI number for Scott Anderson is 1316019433. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Scott Anderson located?

Scott Anderson practices at 521 W Lake Ave, Peoria, IL 61614. The listed phone number is (309) 682-0770.

What is Scott Anderson'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 Scott 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.