Individual
DR. EDWARD ANDREW ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
302 2ND AVE SW, JAMESTOWN, ND 58401-4157
(701) 252-1661
(701) 251-9128
Mailing address
302 2ND AVE SW, JAMESTOWN, ND 58401-4157
(701) 252-1661
(701) 251-9128
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1559
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1559
STATE LICENSE #
ND
05
—
40612
—
ND
Enumeration date
08/31/2006
Last updated
07/09/2007
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