Scott David Anderson, D.D.S.
Individual provider Active NPI Dentist · Gunnison, CO
NPI 1891124228 · NPPES record last updated Nov 6, 2013
Key facts
- NPI
- 1891124228
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 8296 (CO)
- Practice address
- 306 N Main St
Gunnison, CO 81230-2404 - Phone
- (970) 641-1397
- Fax
- (970) 641-3262
- NPI assigned
- Nov 6, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8296 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott D Anderson DDS PC | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8296 | CO | Yes |
Addresses
Primary practice location
306 N Main St
Gunnison, CO 81230-2404
Mailing address
306 N Main St
Gunnison, CO 81230-2404
Phone (970) 641-1397
Other providers in Gunnison, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2013. 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.