1. Home
  2. Directory
  3. Michigan
  4. Detroit
  5. Dentist
  6. NPI Profile

DR. DAVID PAUL ANDERSON DDS
NPI 1417397274
Dentist in Detroit, MI

Active since June 26, 2013PECOS Enrolled
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208(313) 494-6779 Get Directions Write a Review

NPPES record last updated: June 26, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David Paul Anderson Dds NPPES

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

DR. DAVID PAUL ANDERSON DDS (NPI 1417397274) is an individual dentist in Detroit, Michigan, licensed in Michigan (2901018789) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417397274
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DAVID PAUL ANDERSONCredential: DDS
Location Address2700 MARTIN LUTHER KING JR BLVDDetroit, MI 48208-2576
Mailing Address282 Burlington RdTecumseh, ONTARIO N8N 1H4 · (519) 735-9559
Phone(313) 494-6779
Sole ProprietorYes
Enumeration DateJune 26, 2013
✔ NPI 1417397274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901018789
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2700 MARTIN LUTHER KING JR BLVD, Detroit, MI 48208
Open in Google Maps ↗

Other Identifiers 1

Other2901018789MI · Michigan Dental License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David Paul Anderson Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. SWATI DINESH CHITRE DDS,MSD
Dentist
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 494-6814
MINH-PHUONG ISABELLE KIEU
Dentist
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 494-6629
KARISHMA M CHOKSI B.D.S
Dentist (Periodontics)
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 494-6700
DR. MIKHAIL ARKHIPOV DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (347) 782-6999
NASER MOHAMMADZADEH REZAEI
Student in an Organized Health Care Education/Training Program
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 494-6700
HANA GADALLA
Dentist (Periodontics)
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 494-6660
DR. LUIZ CARLOS MAGNO FILHO DDS, MSC
Dentist
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 993-1000
DR. SPENCER SCOTT GILLESPIE DMD
Student in an Organized Health Care Education/Training Program
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 494-6700

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 David Anderson's NPI number?

The NPI number for David Anderson is 1417397274. It was assigned to this individual provider in the NPPES registry on June 26, 2013.

Where is David Anderson located?

David Anderson practices at 2700 Martin Luther King Jr Blvd, Detroit, MI 48208. The listed phone number is (313) 494-6779.

What is David Anderson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is David Anderson enrolled in Medicare?

Yes. David Anderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Anderson was last updated on June 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.