DR. BOB E. ANDERSON (NPI# 1780690065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780690065 |
| Entity Type | Individual |
| Full Name | DR. BOB E. ANDERSON |
| Credential | DDS |
| Practice Address |
1 Saint Vincent Cir #240 Little Rock AR 72205-5405 |
| Practice Telephone | 5016643900 |
| Practice Fax Number | 5016636076 |
| Mailing Telephone | 5016643900 |
| Mailing Fax Number | 5016636076 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
1729 | AR | Dental Providers |
| Street Address |
1 SAINT VINCENT CIR #240 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-5405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619970027 | Frederick Hampton Roy Sr. | Specialist | 1 Saint Vincent Cir, Ste 360, Little Rock, AR 72205-5405 | 2005-05-31 |
| 1669924817 | Danielle Leeper | Nurse Practitioner | 1 Saint Vincent Cir, Suite 160, Little Rock, AR 72205-5405 | 2016-11-03 |
| 1629526454 | Cindy Mikeal | Psychologist | 1 Saint Vincent Cir, Suite 260, Little Rock, AR 72205-5405 | 2016-09-21 |
| 1053782383 | Lisa Mcneir | Psychologist | 1 Saint Vincent Cir, Suite 260, Little Rock, AR 72205-5405 | 2015-10-13 |
| 1003251919 | Rachael Nichole Daugherty | Nurse Practitioner | 1 Saint Vincent Cir, Suite 210, Little Rock, AR 72205-5405 | 2013-05-06 |
| 1841575297 | Total Care Physician, Inc. | Internal Medicine | 1 Saint Vincent Cir, Suite 330, Little Rock, AR 72205-5405 | 2011-10-18 |
| 1598081291 | Christina A Cobb | Dietitian, Registered | 1 Saint Vincent Cir, Ste 210, Little Rock, AR 72205-5405 | 2010-04-20 |
| 1134363716 | Brandon Walser | Internal Medicine | 1 Saint Vincent Cir, Suite 160, Little Rock, AR 72205-5405 | 2009-04-27 |
| 1659536563 | Kevin Girtman | Physician Assistant | 1 Saint Vincent Cir, Ste 210, Little Rock, AR 72205-5405 | 2008-07-21 |
| 1992964209 | Trevor Arnett | Social Worker | 1 Saint Vincent Cir, Ste 210, Little Rock, AR 72205-5405 | 2008-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588176630 | Integrative Dental Specialists Pllc | Dentist | 3333 S Pinnacle Hills Pkwy Ste 140, Rogers, AR 72758-8953 | 2017-10-30 |
| 1477647089 | Stephen Allen Modelevsky | Dentist | 906 Osler Drive, Jonesboro, AR 72401 | 2006-10-03 |
| 1356668826 | Kay Amin Cashman Dds Pllc | Dentist | 390 E Longview St, Fayetteville, AR 72703-4618 | 2010-04-23 |
| 1164491155 | Kay Amin Cashman | Dentist | 390 E Longview St, Fayetteville, AR 72703-4618 | 2006-03-14 |
| City | LITTLE ROCK |
| Zip Code | 72205 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.