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Contact Information

DEVREN C ANDERSON, DDS
6104 S LYNCREST AVE
SIOUX FALLS, SD57108-2560
 Phone: 605-274-6191
 Fax: 605-274-6192
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DEVREN C ANDERSON · (Male)

NPI # 1063575629
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/18/2006
Last updated 08/30/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • SD License # D0918
  • MN Medicaid 490632200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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