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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRADLEY JON ANDERSON, D.D.S

Active Sole Proprietor

DR. BRADLEY JON ANDERSON, D.D.S is a General Dentistry healthcare provider located in FARGO, North Dakota. NPI 1174758361 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · FARGO, ND

Registration Details

NPI Number
1174758361
Provider Type
Individual
Gender
Male
NPI Issued
May 18, 2009 (17.201354275866 yrs)
Last Updated
May 18, 2009
License
2045 (ND)
Sole Proprietor
Yes

Practice Information

Address
4521 38TH AVE S
FARGO, ND, 581048507
Browse ND providers · Browse ZIP 58104
Phone
7012321368
Fax
7012324746
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in FARGO, ND

Name Credential NPI
DR. CARRIE N PETERSON D.D.S. 1538164165
DR. RONALD PAUL MCCLURE DDS 1215925276
DR. MARK ALLAN SCHAFFER DDS 1720078405
DR. BRADLEY MARK KASSON DDS 1346212479
DR. STACY L GOODWILL D.D.S. 1750342275
DR. CHRISTINA M TAYLOR DDS 1770531907
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.