Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. CLIFFORD VIRGIL ANDERSON DDS
NPI 1336193952
Dentist - Pediatric Dentistry in Kansas City, MO

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

Active since May 19, 2006

4240 BLUE RIDGE BLVD, SUITE 800, KANSAS CITY, MO 64133(816) 353-7200(816) 353-5162 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Clifford Virgil Anderson Dds NPPES

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

DR. CLIFFORD VIRGIL ANDERSON DDS (NPI 1336193952) is an individual pediatric dentistry provider in Kansas City, Missouri, licensed in Missouri (12006) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1336193952

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameDR. CLIFFORD VIRGIL ANDERSONCredential: DDS

Location Address4240 BLUE RIDGE BLVD, SUITE 800Kansas City, MO 64133

Mailing Address4240 Blue Ridge Blvd, Suite 800Kansas City, MO 64133 · (816) 353-7200 · Fax (816) 353-5162

Phone(816) 353-7200

Fax(816) 353-5162

Sole ProprietorNo

Enumeration DateMay 19, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1336193952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in MO · 12006

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

4240 BLUE RIDGE BLVD, Kansas City, MO 64133

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