ANDERSON AND SLACK PA
NPI 1508976440
Dentist - General Practice in Jacksonville, NC

Active since August 30, 2006
200 DOCTORS DRIVE, SUITE F, JACKSONVILLE, NC 28546(910) 353-4242(910) 577-6421 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anderson And Slack Pa NPPES

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

ANDERSON AND SLACK PA (NPI 1508976440) is a healthcare organization registered as a general practice in Jacksonville, North Carolina and active in the NPI registry since August 2006. The organization lists Wayne Clark Anderson, Dds, as its authorized official.

NPPES Registry Identity

NPI1508976440
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameANDERSON AND SLACK PA
Location Address200 DOCTORS DRIVE, SUITE FJacksonville, NC 28546
Mailing Address200 Doctors Drive, Suite FJacksonville, NC 28546 · (910) 353-4242 · Fax (910) 577-6421
Fax(910) 577-6421
Organization SubpartNo
Authorized OfficialWayne Clark AndersonDds · (910) 353-4242
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1508976440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NC · 2996
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.
200 DOCTORS DRIVE, Jacksonville, NC 28546

Other Identifiers 3

Other2996NC · Delta
Other02211NC · Bcbs
Medicaid8990244NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

Dentist (Periodontics)
200 DOCTORS DRIVE, SUITE N
JACKSONVILLE, NC 28546
Family Medicine
200 DOCTORS DRIVE, SUITE M
JACKSONVILLE, NC 28546
Dentist (General Practice)
200 DOCTORS DRIVE, STE F
JACKSONVILLE, NC 28546
Dentist (Periodontics)
200 DOCTORS DRIVE, SUITE N
JACKSONVILLE, NC 28546
Dentist (General Practice)
200 DOCTORS DRIVE, SUITE F
JACKSONVILLE, NC 28546
Urology
200 DOCTORS DRIVE, SUITE C
JACKSONVILLE, NC 28546
Dentist (General Practice)
200 DOCTORS DRIVE, STE F
JACKSONVILLE, NC 28546
Dentist (Endodontics)
200 DOCTORS DRIVE, SUITE G
JACKSONVILLE, NC 28546

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 Anderson And Slack PA's NPI number?

The NPI number for Anderson And Slack PA is 1508976440. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Anderson And Slack PA located?

Anderson And Slack PA is located at 200 Doctors Drive Suite F, Jacksonville, NC 28546. The listed phone number is (910) 353-4242.

What is Anderson And Slack PA'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 Anderson And Slack PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.