Individual
DR. DEAN RICHARD ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1400 HAWTHORNE, STE 2, ALEXANDRIA, MN 56308
(320) 762-2122
Mailing address
1400 HAWTHORNE, STE 2, ALEXANDRIA, MN 56308
(320) 762-2122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9007
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61005AN
BCBS
MN
Enumeration date
07/11/2006
Last updated
07/08/2007
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