Madison R Anderson, DDS

Individual provider Active NPI Public Health Dentistry · Cassopolis, MI

NPI 1295660595 · NPPES record last updated Jun 17, 2026

Key facts

NPI
1295660595
Entity type
Individual (NPI type 1)
Primary specialty
Public Health Dentistry 1223D0001X
License
2901603189 (MI)
Practice address
261 M 62
Cassopolis, MI 49031-1034
Phone
(269) 445-3874
NPI assigned
Jun 17, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 2901603189 MI Yes

Addresses

Primary practice location

261 M 62
Cassopolis, MI 49031-1034

Mailing address

261 M 62
Cassopolis, MI 49031-1034
Phone (269) 445-3874

Other practice location 1

1951 Oak St
Niles, MI 49120-3738
Phone (269) 262-4749

Other providers in Cassopolis, MI

All providers in Cassopolis, MI · Public Health Dentistry in Michigan

Sources for this page

Verify at the official NPI Registry.