# EDWARD A ANDERSON DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588766166
- **Authorized official:** DR. EDWARD ANDREW ANDERSON DDS (OWNER)
- **Authorized official phone:** (701) 252-1661

## Contact information

- **Practice address:** 302 2ND AVE SW, JAMESTOWN, ND 58401-4157
- **Practice address phone:** (701) 252-1661
- **Practice address fax:** (701) 251-9128
- **Mailing address:** 302 2ND AVE SW, JAMESTOWN, ND 58401-4157
- **Mailing address phone:** (701) 252-1661
- **Mailing address fax:** (701) 251-9128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1559 | ND | Yes |

## Other

- **Enumeration date:** 09/02/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 40612 | — | ND |