DR. THANE B. ANDERSON DDS LLC NPI 1245420280

NPI Information

  • NPI: 1245420280
  • Provider Name: DR. THANE B. ANDERSON, DDS, LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 1520 VERNON ST
    STOUGHTON, WI
    ZIP 53589
  • Phone: (608) 873-3213

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NPI Details

DR. THANE B. ANDERSON, DDS, LLC is a dental clinic center in Stoughton, WI. DR. THANE B. ANDERSON, DDS, LLC NPI is 1245420280. The provider is registered as an organization entity type.

The provider's business location address is:

1520 VERNON ST
STOUGHTON, WI
ZIP 53589-260
Phone: (608) 873-3213
Fax: (608) 873-7254

The provider's authorized official is Thane B Anderson .
The authorized official title is Owner and has the following contact phone number (608) 873-3213.

The enumeration date for this NPI number is 7/26/2007 and was last updated on 6/21/2018.

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
1261QD0000XClinic/CenterDental4812WWISCONSINYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERWISCONSINTAX ID NUMBER

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: 11/21/2025

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