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 |
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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 |
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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 |
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Provider Enumeration Date | 07/26/2007 |
Last Update Date | 06/21/2018 |
Identifier | Type | State | Issuer |
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1245420280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 4812W (Wisconsin) | Primary |