National Provider Identifier

Roger M. Anderson, DDS, MS

Roger M. Anderson, DDS, MS is listed in the NPPES registry with a primary specialty of Periodontics in East Amherst, NY and a listed phone number of (716) 626-4427.

NPI 1598996639East Amherst, NYPeriodontics

Profile Overview

NPI
1598996639
Provider Type
Individual
Primary Specialty
Periodontics
Enumeration Date
August 06, 2009
Last Updated
March 17, 2018

Practice Location

  • 6105 Transit RD Ste 120
  • East Amherst, NY 14051-2611

Phone: (716) 626-4427

Specialties

  • Periodontics (1223P0300X)
Full Record
NPI
1598996639
Entity Type
Individual
Last Name
Anderson
First Name
Roger
Middle Name
M.
Credential
DDS, MS
Mailing Street Address
6105 Transit RD Ste 120
Mailing City
East Amherst
Mailing State
NY
Mailing ZIP Code
14051-2611
Mailing Country
US
Mailing Phone
(716) 626-4427
Mailing Fax
(716) 626-4875
Practice Street Address
6105 Transit RD Ste 120
Practice City
East Amherst
Practice State
NY
Practice ZIP Code
14051-2611
Practice Country
US
Practice Phone
(716) 626-4427
Practice Fax
(716) 626-4875
Enumeration Date
August 06, 2009
Last Updated
March 17, 2018
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Periodontics (1223P0300X)