Dr Craig W Anderson, DMD | |
515 Delaware St Se # 7-174, Minneapolis, MN 55455-0357 | |
(612) 624-8600 | |
Not Available |
Full Name | Dr Craig W Anderson |
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Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 515 Delaware St Se # 7-174, Minneapolis, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1760043202 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | D14275 (Minnesota) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | D14275 (Minnesota) | Primary |
Entity Name | St Paul Oral Surgery And Dental Implants, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124776687 PECOS PAC ID: 9638512924 Enrollment ID: O20240202002672 |
Mailing Address | Practice Location Address |
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Dr Craig W Anderson, DMD 1555 Selby Ave Apt 416, Saint Paul, MN 55104-6598 Ph: (864) 380-0540 | Dr Craig W Anderson, DMD 515 Delaware St Se # 7-174, Minneapolis, MN 55455-0357 Ph: (612) 624-8600 |
Dr. Brian J Chase, DMD Dentist Medicare: Medicare Enrolled Practice Location: 515 Delaware St Se, Minneapolis, MN 55455 Phone: 617-895-7348 | |
Dr. Jennifer Lynn Bonamici, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 515 Delaware St Se, Minneapolis, MN 55455 Phone: 612-625-5000 | |
Joanna Christine Bourain, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1313 Penn Ave N, Minneapolis, MN 55411 Phone: 805-729-0090 | |
Dr. Michael W. Lehnert, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 515 Delaware St Se, 7th Floor, Mmhst, Minneapolis, MN 55455 Phone: 612-624-7133 Fax: 612-624-2669 | |
Luke Mcmahon, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 606 24th Ave S, Minneapolis, MN 55454 Phone: 612-659-8689 | |
Dr. Brett Andrew Voegele, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 515 Delaware St Se, 7th Floor, Moos Tower, Minneapolis, MN 55455 Phone: 612-624-8600 | |
Julio Sotillo Rodriguez, D.D.S., PH.D. Dentist Medicare: Medicare Enrolled Practice Location: 701 25th Ave S, Suite 400, Minneapolis, MN 55454 Phone: 612-625-3249 |