Anthony David Hegge, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11795 Issued in MN

Practice address

93 Oak Ave S
Suite #3
Annandale, MN 55302-1205

Phone

(320) 274-2475

Fax

(320) 274-3152

NPI assigned

Mar 3, 2007

Last updated

Nov 12, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Annandale Dental Clinic PC

  • Dental Clinic/Center
  • Annandale, MN
  • NPI 1083917363
  Authorized official Same address or phone

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1780713149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 OAK AVE S",
            "address_2": "SUITE #3 PO BOX 539",
            "city": "ANNANDALE",
            "state": "MN",
            "postal_code": "553021205",
            "telephone_number": "320-274-2475",
            "fax_number": "320-274-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 OAK AVE S",
            "address_2": "SUITE #3",
            "city": "ANNANDALE",
            "state": "MN",
            "postal_code": "553021205",
            "telephone_number": "320-274-2475",
            "fax_number": "320-274-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGGE",
        "first_name": "ANTHONY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-03",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Lee Froehling
• Ann Gross
• Mallory Lynn Gustin, APRN, CNP
• David Gerald Hanson, PT
• Lori Lee Hausken, PTA
• Eric Richard Heimkes, MPT
• Dawn Mae Hill, APRN, DNP
• Myka Fawn Hirschey, RN
• Amanda Hoffman, MD
• Jeffrey Nelson Holmberg, DDS

• General Practice Dentistry in Annandale, MN
• Providers in Annandale, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.