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Contact Information

TATE E ANDERSON, DDS
337 GREYBULL AVE
GREYBULL, WY82426-2049
 Phone: 307-765-4654
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for TATE E ANDERSON · (Male)

NPI # 1568023471
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/23/2019
Last updated 06/23/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • WY License # 1535
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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