Dennis R Anderson DDS SC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001336 Issued in WI

Legal business name

DENNIS R ANDERSON DDS SC

Practice address

10701 W Lincoln Ave
West Allis, WI 53227-1242

Phone

(414) 545-9090

Fax

(414) 545-3440

NPI assigned

Apr 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dennis Raymond AndersonNPI 1538384771

Title

President

Phone

(414) 545-9090

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dennis Raymond Anderson, D.D.S.

  • General Practice Dentistry
  • West Allis, WI
  • NPI 1538384771
  NPD (past) Authorized official
• Deanna Joy Anderson, DDS

  • General Practice Dentistry
  • West Allis, WI
  • NPI 1396960548
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235354481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 W LINCOLN AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271242",
            "telephone_number": "414-545-9090",
            "fax_number": "414-545-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 W LINCOLN AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271242",
            "telephone_number": "414-545-9090",
            "fax_number": "414-545-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS R ANDERSON DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-545-9090",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Deitte
• Meghan Elizabeth Dejong, P.T.
• Dek Co. Inc.
• Claudia Delain
• Jill Nicole Delie, PSYD
• Lea Salome Denny, LPC-IT
• Andrew Dentino, DDS, PHD
• Michelle Ann Depa, APRN, CRNA
• Dependable Home Care LLC
• Holly Derenne, DNP

• General Practice Dentistry in West Allis, WI
• Providers in West Allis, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.