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Contact Information

KEVIN S ANDERSON, DMD
1075 HADLEY AVE N
OAKDALE, MN55128-5951
 Phone: 651-731-2141
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for KEVIN S ANDERSON · (Male)

NPI Number 1861875650
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 06/30/2015
Last updated 06/30/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MN License # D13582
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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