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Organization
EDWARD A ANDERSON DDS PC
Active
Organization
EDWARD A ANDERSON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD ANDREW ANDERSON DDS (OWNER)
(701) 252-1661
Entity
Organization
Contact information
Practice address
302 2ND AVE SW, JAMESTOWN, ND 58401-4157
(701) 252-1661
(701) 251-9128
Mailing address
302 2ND AVE SW, JAMESTOWN, ND 58401-4157
(701) 252-1661
(701) 251-9128
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1559
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40612
—
ND
Enumeration date
09/02/2006
Last updated
08/22/2020
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