Anoka Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ANOKA DENTAL PLLC

Practice address

12 Bridge SQ
Suite 106
Anoka, MN 55303-2493

Phone

(763) 421-4002

Fax

(763) 231-7419

NPI assigned

Oct 14, 2016

Last updated

Oct 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Robin Lynne Anderson

Title

Manager

Phone

(763) 746-8419

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gene Gerald Dvoracek, D.D.S.

  • General Practice Dentistry
  • Anoka, MN
  • NPI 1174699888
  NPD (past)

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1912458969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BRIDGE SQ",
            "address_2": "SUITE 106",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032493",
            "telephone_number": "763-421-4002",
            "fax_number": "763-231-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BRIDGE SQ",
            "address_2": "SUITE 106",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032493",
            "telephone_number": "763-421-4002",
            "fax_number": "763-231-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANOKA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "763-746-8419",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilly Jean Anderson
• Lydia Anderson
• Davika Serene Annis, PA-C
• Anoka Cares Transportation LLC
• Anoka Chiropractic, P.a.
• Anoka Family Chiropractic P.a.
• Anoka Metro Regional Treatment Center
• Anoka Metro Regional Treatment Center
• Anoka Metro Regional Treatment Center
• Anoka-Andover Chiropractic, PA

• Dentist in Anoka, MN
• Providers in Anoka, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.