Individual
DR. RICHARD J ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3922 W 50TH ST, EDINA, MN 55424-1255
(952) 926-0284
(952) 926-8723
Mailing address
3922 W 50TH ST, EDINA, MN 55424-1255
(952) 926-0284
(952) 926-8723
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MN8788
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00370AN
BLUE CROSS BLUE SHIELD
MN
Enumeration date
06/23/2005
Last updated
02/19/2015
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