Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JORDAN D ANDERSON, D.D.S.
ActiveGeneral Dentistry · COLERAINE, MN
Registration Details
- NPI Number
- 1851550040
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 3, 2008 (17.882456767781 yrs)
- Last Updated
- May 5, 2015
- License
-
D12543 (MN)
Practice Information
- Address
-
209 MCLEAN AVECOLERAINE, MN, 55722Browse MN providers · Browse ZIP 55722
- Phone
- 2182451278
- Fax
- 2182452545
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in COLERAINE, MN
| Name | Credential | NPI |
|---|---|---|
| DR. CAVOUR DAMON JOHNSON | DDS | 1760544357 |
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.