BRIAN E. ANDERSON D.D.S. PLLC NPI 1063796456

NPI Information

BRIAN E. ANDERSON, D.D.S., PLLC is a dental clinic center in Ishpeming, MI. BRIAN E. ANDERSON, D.D.S., PLLC NPI is 1063796456. The provider is registered as an organization entity type.

The provider's business location address is:

125 N. PANSY ST
ISHPEMING, MI
ZIP 49849
Phone: (906) 485-5575
Fax: (906) 485-1260

The provider's authorized official is Brian Edward Anderson .
The authorized official title is Sole Member and has the following contact phone number (906) 485-5575.

The enumeration date for this NPI number is 10/4/2011 and was last updated on 10/4/2011.

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:

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