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

DR. WALLACE JAY ANDERSON, DDS

Active

DR. WALLACE JAY ANDERSON, DDS is a Dentist healthcare provider located in ARDEN HILLS, Minnesota. NPI 1518041797 is currently active in the NPPES registry. Verify at CMS.

Dentist · ARDEN HILLS, MN

Registration Details

NPI Number
1518041797
Provider Type
Individual
Gender
Male
NPI Issued
Oct 25, 2006 (19.628186962145 yrs)
Last Updated
Jul 8, 2007
License
7786 (MN)

Practice Information

Address
1260 COUNTY ROAD E WEST
ARDEN HILLS, MN, 551123737
Browse MN providers · Browse ZIP 55112
Phone
6516390452
Primary Specialty
Dentist
122300000X

Other Dentist Providers in ARDEN HILLS, MN

Name Credential NPI
MR. FOUAD BADR DMD 1780020966
NADINE YACOUB DDS 1730679325
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.