DR. ANDREW DAVID THORSEN DDS NPI 1093005647

NPI Information

NPI: 1093005647
Provider Name: DR. ANDREW DAVID THORSEN, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
5955 ZEAMER AVE
JBER, AK
ZIP 99506
Phone: (907) 580-1079
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DR. Andrew David Thorsen, DDS is a general practice dentist in Jber, AK. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Andrew David Thorsen, DDS NPI is 1093005647. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5955 ZEAMER AVE
JBER, AK
ZIP 99506-702
Phone: (907) 580-1079

The enumeration date for this NPI number is 4/17/2011 and was last updated on 4/19/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	6694-15	WISCONSIN	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program			WISCONSIN	No

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: 11/14/2023

NPI Synchronization or Removal

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