| Thomas W. Anderson | |
|
11237 Foley Blvd. Nw Coon Rapids MN 55448 | |
| (763) 757-3120 | |
| (763) 757-5161 |
| Full Name | Thomas W. Anderson |
|---|---|
| Speciality | Dentist |
| Location | 11237 Foley Blvd. Nw, Coon Rapids, Minnesota |
| Authorized Official Name and Position | Richard Gerard Battaglia (OWNER/DENTIST) |
| Authorized Official Contact | 7637571234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas W. Anderson 11237 Foley Blvd. Nw Coon Rapids MN 55448 Ph: (763) 757-3120 | Thomas W. Anderson 11237 Foley Blvd. Nw Coon Rapids MN 55448 Ph: (763) 757-3120 |
| NPI Number | 1710052691 |
|---|---|
| Provider Enumeration Date | 11/23/2006 |
| Last Update Date | 12/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710052691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
| 1223G0001X | Dentist - General Practice | 7054 (Minnesota) | Secondary |
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