| Bonnie J. Anderson | |
|
20 1st Ave Sw Box E Bowman ND 58623-4213 | |
| (701) 523-5651 | |
| Not Available |
| Full Name | Bonnie J. Anderson |
|---|---|
| Speciality | Dentist |
| Location | 20 1st Ave Sw, Bowman, North Dakota |
| Authorized Official Name and Position | Bonnie Anderson (OWNER) |
| Authorized Official Contact | 7015235651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie J. Anderson 20 1st Ave Nw Box E Bowman ND 58623 Ph: (701) 523-5651 | Bonnie J. Anderson 20 1st Ave Sw Box E Bowman ND 58623-4213 Ph: (701) 523-5651 |
| NPI Number | 1417365529 |
|---|---|
| Provider Enumeration Date | 08/01/2014 |
| Last Update Date | 08/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417365529 | NPI | - | NPPES |
| 41045 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1771 (North Dakota) | Primary |
Dakota Dental Center, P.l.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 1st Ave Sw, Bowman, ND 58623 Phone: 701-523-5651 | |
Prairie Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 608 Highway 12 W, Bowman, ND 58623 Phone: 701-523-3255 Fax: 701-523-5742 |