DR. MARVIN PAUL ANDERSON DMD
NPI 1962487926
Dentist - Oral and Maxillofacial Surgery in Fort Drum, NY

Q: What is Marvin Anderson's NPI number?

The NPI number for Marvin Anderson is 1962487926. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Q: What is Marvin Anderson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Marvin 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 December 13, 2005

US ARMY DENTAL ACTIVITY, 10205 N RIVA RIDGE LOOP, FORT DRUM, NY 13602(315) 772-4342(315) 772-9692 Get Directions Write a Review

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

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About Dr. Marvin Paul Anderson Dmd NPPES

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

DR. MARVIN PAUL ANDERSON DMD (NPI 1962487926) is an individual oral and maxillofacial surgery provider in Fort Drum, New York, licensed in Florida (DN 13813) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1962487926

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. MARVIN PAUL ANDERSONCredential: DMD

Location AddressUS ARMY DENTAL ACTIVITY, 10205 N RIVA RIDGE LOOPFort Drum, NY 13602-5005

Mailing AddressUs Army Dental Activity, 10205 N Riva Ridge LoopFort Drum, NY 13602-5005 · (315) 772-4342 · Fax (315) 772-9692

Phone(315) 772-4342

Fax(315) 772-9692

Sole ProprietorNo

Enumeration DateDecember 13, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1962487926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in FL · DN 13813

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

US ARMY DENTAL ACTIVITY, Fort Drum, NY 13602

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Other Identifiers 1

Medicare UPINVAD000NY

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 Marvin Anderson's NPI number?

The NPI number for Marvin Anderson is 1962487926. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Where is Marvin Anderson located?

Marvin Anderson practices at Us Army Dental Activity 10205 N Riva Ridge Loop, Fort Drum, NY 13602. The listed phone number is (315) 772-4342.

What is Marvin Anderson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Marvin 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.