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Contact Information

MAX ADDERSTONE, DDS
636 BROADWAY ST NE
MINNEAPOLIS, MN55413
 Phone: 515-770-8529
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for MAX ADDERSTONE · (Female)

NPI # 1265059240
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/25/2020
Last updated 01/18/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IA License # DDS-09781
  • MN License # 1265059240
  • MN License # D14523
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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