DR. SCOTT WILLIAM ANDERSON (NPI# 1316019433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316019433 |
| Entity Type | Individual |
| Full Name | DR. SCOTT WILLIAM ANDERSON |
| Credential | DDS |
| Practice Address |
521 W Lake Ave Peoria IL 61614-6020 |
| Practice Telephone | 3096820770 |
| Practice Fax Number | 3096827259 |
| Mailing Telephone | 3096820770 |
| Mailing Fax Number | 3096827259 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821308719 | Scott Robert Anderson | Psychologist | 800 Carter St Ste 260, Rochester, NY 14621-2604 | 2010-10-14 |
| 1770897910 | Scott Mitchell Anderson | Dentist | 855 A Ave Ne Ste Ll1, Cedar Rapids, IA 52402-5064 | 2010-07-29 |
| 1205099199 | Scott Monroe Anderson | Occupational Therapist | 991 Clyde Ave, Santa Clara, CA 95054-1905 | 2008-07-09 |
| 1699965269 | Scott Eric Anderson I | Counselor | 2239 Bridgeport Wat, Martrinez, CA 94553 | 2007-07-30 |
| 1245353598 | Scott Robert Anderson | Dentist | 33 E Chapman St, Ely, MN 55731-1227 | 2007-04-09 |
| 1053441436 | Scott Dodd Anderson | Preventive Medicine | 9261 Folsom Blvd Ste 200, Sacramento, CA 95826-2559 | 2007-03-06 |
| 1497897748 | Scott Edward Anderson | Physician Assistant | Diraimondo Troop Medical Clinic #9, Fort Carson, CO 80913 | 2007-02-13 |
| 1104962166 | Scott Michael Anderson | Chiropractor | 3824 Bloomington Ave, Minneapolis, MN 55407-2842 | 2007-01-29 |
| 1316000235 | Scott Gary Anderson | Chiropractor | 3821 Washington Rd, Mc Murray, PA 15317-2946 | 2006-12-19 |
| 1265500599 | Scott Kenneth Anderson | Chiropractor | 4033 Owen Rd, Fenton, MI 48430-9100 | 2006-12-04 |
| Street Address |
521 W LAKE AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-6020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154728228 | Dr. Paul & Dr. Anderson, Dental PC | Dentist | 521 W Lake Ave, Peoria, IL 61614-6020 | 2014-12-04 |
| 1497829063 | Roger Louis Paul | Dentist | 521 W Lake Ave, Peoria, IL 61614-6020 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013530187 | Core Family Dental, LLC | Dentist | 13460 N 94th Dr Ste K4, Peoria, AZ 85381-4249 | 2020-05-24 |
| 1982248084 | Westbrook Dental Center, P.a. | Dentist | 9276 W Union Hills Dr Ste A, Peoria, AZ 85382-8206 | 2019-10-31 |
| 1699318725 | Mint Dental Care LLC | Dentist | 8258 W Thunderbird Rd Ste 201, Peoria, AZ 85381-4777 | 2019-10-21 |
| 1548822497 | Katherine M Unes | Dentist | 11323 N Pawnee Rd, Peoria, IL 61615-9796 | 2019-07-01 |
| 1992296073 | George S Hariri | Dentist | 7777 W Deer Valley Rd Ste 160, Peoria, AZ 85382-2104 | 2018-05-23 |
| 1619485869 | Thunderbird Dental Studio | Dentist | 9179 W Thunderbird Rd Ste 107, Peoria, AZ 85381-4875 | 2018-01-22 |
| 1588179311 | Dr. Marc C Thevenin Jr. PC | Dentist | 5116 N Big Hollow Rd Ste 101, Peoria, IL 61615-3514 | 2017-12-01 |
| 1629592423 | Jessica Leigh Howard | Dentist | 7966 W Thunderbird Rd Ste 101, Peoria, AZ 85381-4902 | 2017-08-02 |
| 1588193718 | Darren Anderson | Dentist | 28451 N Vistancia Blvd Ste 101, Peoria, AZ 85383-2090 | 2017-06-10 |
| 1962943290 | Optim Dental Peoria-1 LLC | Dentist | 1200 W Main St Ste 9, Peoria, IL 61606-1218 | 2017-03-20 |
| Find all providers in PEORIA | ||||
Please comment or provide details below to improve the information on DR. SCOTT WILLIAM ANDERSON.
| 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.