| Edward A Anderson Dds Pc | |
|
302 2nd Ave Sw Jamestown ND 58401-4157 | |
| (701) 252-1661 | |
| (701) 251-9128 |
| Full Name | Edward A Anderson Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 302 2nd Ave Sw, Jamestown, North Dakota |
| Authorized Official Name and Position | Edward Andrew Anderson (OWNER) |
| Authorized Official Contact | 7012521661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward A Anderson Dds Pc 302 2nd Ave Sw Jamestown ND 58401-4157 Ph: (701) 252-1661 | Edward A Anderson Dds Pc 302 2nd Ave Sw Jamestown ND 58401-4157 Ph: (701) 252-1661 |
| NPI Number | 1588766166 |
|---|---|
| Provider Enumeration Date | 09/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588766166 | NPI | - | NPPES |
| 40612 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1559 (North Dakota) | Primary |
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