Kevin Anderson DMD PLCC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KEVIN ANDERSON DMD PLCC

Doing business as

All Family Dental

Practice address

1075 Hadley Ave N
Oakdale, MN 55128-5951

Phone

(651) 731-2141

Fax

(651) 731-3601

NPI assigned

Dec 1, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Scott Anderson, DMDNPI 1861875650

Title

Owner

Phone

(651) 731-2141

Specialties & licenses 1

Addresses

Other names 1

• All Family Dental Doing business as

Practitioners 2

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

• Kevin Scott Anderson, D.M.D

  • General Practice Dentistry
  • Oakdale, MN
  • NPI 1861875650
  NPD (past) Authorized official
• Richard Paul Timm, D.D.S.

  • General Practice Dentistry
  • Oakdale, MN
  • NPI 1285781351
  NPD (past)

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

{
    "created_epoch": "1575158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575158400000",
    "number": "1902443625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 HADLEY AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285951",
            "telephone_number": "651-731-2141",
            "fax_number": "651-731-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 HADLEY AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285951",
            "telephone_number": "651-731-2141",
            "fax_number": "651-731-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN ANDERSON DMD PLCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-01",
        "last_updated": "2019-12-01",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-731-2141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kalen Keir, BA
• Alaina Kelley, M.A., SLP
• Kelsey Chiropractic, PLLC
• Amanda Kelsey, DC
• Kerry Marie Kennedy, PMHNP
• Key Family Dental Center PLLC
• Keycare Minnesota LLC
• Susan Kidd
• Janiece S Kirton, LICSW
• Nick Kitchar, M.S.W., L.I.C.S.W.

• Dental Clinic/Center in Oakdale, MN
• Providers in Oakdale, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2019; 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.