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ALAN A. ANDERSON DENTURE SPECIALIST NPI 1073242731


NPI Information

NPI: 1073242731
Provider Name: ALAN A. ANDERSON DENTURE SPECIALIST
Classification: Denturist - 122400000X
Entity Type: Organization
Address:
1622 S MILDRED ST STE A
TACOMA, WA
ZIP 98465
Phone: (253) 588-2721
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ALAN A. ANDERSON DENTURE SPECIALIST is a denturist in Tacoma, WA. The provider is a denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices. ALAN A. ANDERSON DENTURE SPECIALIST NPI is 1073242731. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1622 S MILDRED ST STE A
TACOMA, WA
ZIP 98465-610
Phone: (253) 588-2721

The provider's authorized official is Alan A Anderson .
The authorized official title is Denturist and has the following contact phone number (253) 588-2721.

The enumeration date for this NPI number is 6/8/2022 and was last updated on 6/8/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122400000XDenturistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
191-131308385MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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