Bruce WM. Anderson, D.D.S., PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

8245 Issued in MN

Legal business name

BRUCE WM. ANDERSON, D.D.S., PA

Practice address

1029 2ND Ave
Worthington, MN 56187-2380

Phone

(507) 372-2166

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bruce William Anderson, D. D. S.

Title

President

Phone

(507) 372-2166

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487877650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 2ND AVE",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872380",
            "telephone_number": "507-372-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 2ND AVE",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872380",
            "telephone_number": "507-372-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE WM. ANDERSON, D.D.S., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-372-2166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. D. S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "8245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Bonnett, MSW, LICSW
• Savannah Laine Bowen
• Janine Alice Bremer, DC
• Denise L Brickson, CRNA
• Bryan Broussard, D.D.S.
• Jessica Bruny
• Alexis Grace Burket, CNP
• Jeffrey Dallas Campbell, D.M.D.
• Elena Canfield, M.D.
• Caring & Compassionate Health Care Agency LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Worthington, MN
• Providers in Worthington, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• 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.