Scott R Anderson
Organization Active NPI General Practice Dentistry · Ely, MN
NPI 1134593106 · NPPES record last updated Nov 13, 2015
Key facts
- NPI
- 1134593106
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 9236 (MN)
- Legal business name
- SCOTT R ANDERSON
- Practice address
- 33 E Chapman St
Ely, MN 55731-1227 - Phone
- (218) 365-3194
- Fax
- (218) 365-5613
- NPI assigned
- Nov 13, 2015
- Organization subpart
- No
Authorized official
- Name
- Scott R Anderson
- Title
- Dentist
- Phone
- (218) 365-3194
National Provider Directory
Locations
33 E Chapman St
Ely, MN 55731
Phone (218) 365-3194
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 9236 | MN | Yes |
Addresses
Primary practice location
33 E Chapman St
Ely, MN 55731-1227
Mailing address
33 E Chapman St
Ely, MN 55731-1227
Phone (218) 365-3194
Other providers in Ely, MN
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- William James Scott
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- Margaret Simonson
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All providers in Ely, MN · General Practice Dentistry in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.