| Kevin Anderson Dmd Plcc | |
|
1075 Hadley Ave N Oakdale MN 55128-5951 | |
| (651) 731-2141 | |
| (651) 731-3601 |
| Full Name | Kevin Anderson Dmd Plcc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1075 Hadley Ave N, Oakdale, Minnesota |
| Authorized Official Name and Position | Kevin Scott Anderson (OWNER) |
| Authorized Official Contact | 6517312141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Anderson Dmd Plcc 1075 Hadley Ave N Oakdale MN 55128-5951 Ph: (651) 731-2141 | Kevin Anderson Dmd Plcc 1075 Hadley Ave N Oakdale MN 55128-5951 Ph: (651) 731-2141 |
| NPI Number | 1902443625 |
|---|---|
| Provider Enumeration Date | 12/01/2019 |
| Last Update Date | 12/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902443625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Mnpl02 Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1099 Helmo Ave N Ste 110, Oakdale, MN 55128 Phone: 651-372-3300 Fax: 651-337-8305 | |
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All Famliy Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1075 Hadley Ave N, Oakdale, MN 55128 Phone: 651-731-2141 Fax: 651-731-3601 | |
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