Dr. Gerald Ellis Anderson is a Keizer, Oregon based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Gerald Ellis Anderson is
D4704 for Dentistry in Oregon. His current practice location is
3975 River Rd N, Suite #5, Keizer. Patients can reach him at
503-393-9106.
Dr. Gerald Ellis Anderson is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Gerald Ellis Anderson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Gerald Ellis Anderson |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.M.D. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 3975 River Rd N, Suite #5, Keizer,
Oregon, 97303-4811 |
| Phone: | 503-393-9106 |
| Fax: | 503-393-3053 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1619975281 |
| NPI Enumeration Date: | 08 Jul, 2005 |
| NPI Last Update On: | 09 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gerald Ellis Anderson are as mentioned below.
| License Number | Specialization | State | Status | |
| D4704 | Dentistry | Oregon | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Gerald Ellis Anderson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| D4704 | Other | Oregon | OREGON DENTAL LICENSE # |
| 0250011-8 | Other | Oregon | OREGON BUSINESS ID # |
| 00454-9 | Medicaid | Oregon | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3975 River Rd N, Suite #5
Keizer, Oregon |
| Zip: | 97303-4811 |
| Phone Number: | 503-393-9106 |
| Fax Number: | 503-393-3053 |
Patients can reach Dr. Gerald Ellis Anderson at
3975 River Rd N, Suite #5, Keizer, Oregon or can
call to book an appointment on 503-393-9106.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.