Organization
ANDOVER FAMILY DENTISTRY, LLC
Active
Other names
Andover Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ETHAN R CHUTE D.D.S. (PRESIDENT)
(763) 427-4780
Entity
Organization
Contact information
Practice address
3480 BUNKER LAKE BLVD NW, SUITE 202, ANDOVER, MN 55304
(763) 427-4780
(763) 427-8471
Mailing address
3480 BUNKER LAKE BLVD NW, SUITE 202, ANDOVER, MN 55304
(763) 427-4780
(763) 427-8471
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D11439
MN
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/29/2006
Last updated
06/19/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us