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ANDERSON FAMILY DENTAL PA
NPI 1356697973
Dentist - General Practice in Coleraine, MN

Active since August 01, 2012
209 MCLEAN AVE, COLERAINE, MN 55722(218) 245-1278(218) 245-1333 Get Directions Write a Review

NPPES record last updated: August 1, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anderson Family Dental Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDERSON FAMILY DENTAL PA (NPI 1356697973) is a healthcare organization registered as a general practice in Coleraine, Minnesota and active in the NPI registry since August 2012. The organization lists Jordan David Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1356697973
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameANDERSON FAMILY DENTAL PA
Location Address209 MCLEAN AVEColeraine, MN 55722-0756
Mailing AddressPo Box 756Coleraine, MN 55722-0756 · (218) 245-1278 · Fax (218) 245-1333
Phone(218) 245-1278
Fax(218) 245-1333
Organization SubpartNo
Authorized OfficialJordan David AndersonOwner · (218) 245-1278
Enumeration DateAugust 1, 2012
✔ NPI 1356697973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · 12543
Definition
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.
209 MCLEAN AVE, Coleraine, MN 55722
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD JAMES THOUIN DDS
Dentist
209 MCLEAN AVE
COLERAINE, MN 55722
Itasca County (218) 245-1278
DR. JORDAN D ANDERSON D.D.S.
Dentist (General Practice)
209 MCLEAN AVE
COLERAINE, MN 55722
Itasca County (218) 245-1278

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anderson Family Dental PA's NPI number?

The NPI number for Anderson Family Dental PA is 1356697973. It was assigned to this organization in the NPPES registry on August 1, 2012.

Where is Anderson Family Dental PA located?

Anderson Family Dental PA is located at 209 Mclean Ave, Coleraine, MN 55722. The listed phone number is (218) 245-1278.

What is Anderson Family Dental PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Anderson Family Dental PA was last updated on August 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.