NPI

Jennifer L Anderson

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
DDS
Type
Individual
Enumeration date
2009-06-12
Last updated
2013-01-03

Specialties

Licenses

License IL
019028537
License WI
6410

Location

Practice location
208 N. Walnut Ave
City
Forreston IL
Postal code
61030
Phone
(815) 938-2575

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

Check this NPI on the exclusion page

OIG exclusion search

Nearby

Other NPIs in Forreston, IL. 15 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

Update a record in NPPES

Run it in Rivvi

Is this you?

Check your listing for a stale address, wrong specialty or deactivation. Free.

Check my listing

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Try it on your own data today.

Free to start. Most teams are using it the same day.

Get started for freeSee pricing