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THOMAS A ANDERSON DDS III NPI 1316016173


NPI Information

NPI: 1316016173
Provider Name: THOMAS A ANDERSON DDS III

Doing Business As: CEDAR DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1935 1ST AVE SE
CEDAR RAPIDS, IA
ZIP 52402
Phone: (319) 364-7108
Get Directions

THOMAS A ANDERSON DDS III is a general practice dentist in Cedar Rapids, IA. 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. THOMAS A ANDERSON DDS III NPI is 1316016173. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cedar Dental.

The provider's business location address is:

1935 1ST AVE SE
CEDAR RAPIDS, IA
ZIP 52402
Phone: (319) 364-7108
Fax: (319) 364-6529

The provider's authorized official is Thomas A Anderson .
The authorized official title is Dds Owner and has the following contact phone number (319) 364-7108.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 6/16/2008.


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
11223G0001XDentistGeneral Practice6459IOWANo
21223G0001XDentistGeneral Practice06550IOWAYes

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
1=========MEDICARE UPIN
2000813658OTHERUNITED CONCORDIA
30469791MEDICAIDIOWA
40170597MEDICAIDIOWA

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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