Organization
SCOTT T. ANDERSON, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT THOMAS ANDERSON (DENTIST/OWNER)
(563) 872-3211
Entity
Organization
Contact information
Practice address
400 S RIVERVIEW ST, BELLEVUE, IA 52031-1350
(563) 872-3211
Mailing address
400 S RIVERVIEW ST, BELLEVUE, IA 52031-1350
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7390
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056697
—
IA
01
—
281188
DELTA DENTAL
IA
01
—
860752
UNITED CONCORDIA
—
Enumeration date
05/22/2008
Last updated
05/22/2008
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