| Dr. Thane B. Anderson, Dds, Llc | |
|
1520 Vernon St Stoughton WI 53589-2260 | |
| (608) 873-3213 | |
| (608) 873-7254 |
| Full Name | Dr. Thane B. Anderson, Dds, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1520 Vernon St, Stoughton, Wisconsin |
| Authorized Official Name and Position | Thane B Anderson (OWNER) |
| Authorized Official Contact | 6088733213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Thane B. Anderson, Dds, Llc 1520 Vernon St Stoughton WI 53589-2260 Ph: (608) 873-3213 | Dr. Thane B. Anderson, Dds, Llc 1520 Vernon St Stoughton WI 53589-2260 Ph: (608) 873-3213 |
| NPI Number | 1245420280 |
|---|---|
| Provider Enumeration Date | 07/26/2007 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245420280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4812W (Wisconsin) | Primary |