Organization
THOMAS A ANDERSON DDS III
Active
Other names
Cedar Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS A ANDERSON DDS (DDS OWNER)
(319) 364-7108
Entity
Organization
Contact information
Practice address
1935 1ST AVE SE, CEDAR RAPIDS, IA 52402
(319) 364-7108
(319) 364-6529
Mailing address
1935 1ST AVE SE, CEDAR RAPIDS, IA 52402
(319) 364-7108
(319) 364-6529
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06550
IA
1223G0001X
General Practice Dentistry
6459
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000813658
UNITED CONCORDIA
—
05
—
0170597
—
IA
05
—
0469791
—
IA
Enumeration date
11/07/2006
Last updated
06/16/2008
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