Individual
DR. SCOTT THOMAS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PC
Contact information
Practice address
400 S RIVERVIEW, BELLEVUE, IA 52031
(563) 872-5678
(563) 872-5678
Mailing address
400 S RIVERVIEW, BELLEVUE, IA 52031
(563) 872-5678
(563) 872-5678
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7390
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056697
—
IA
01
—
281188
DELTA OF IA
IA
01
—
860752
UNITED CONCORDIA
—
Enumeration date
12/08/2006
Last updated
07/08/2007
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