DR. PAUL DANIEL ANDERSON DDS
NPI 1659449098
Dentist in White Bear Lake, MN

Q: What is Paul Anderson's NPI number?

The NPI number for Paul Anderson is 1659449098. It was assigned to this individual provider in the NPPES registry on December 2, 2006.

Q: What is Paul Anderson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Anderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since December 02, 2006PECOS Enrolled

4778 BANNING AVE, WHITE BEAR LAKE, MN 55110(651) 426-8998 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Paul Daniel Anderson Dds NPPES

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

DR. PAUL DANIEL ANDERSON DDS (NPI 1659449098) is an individual dentist in White Bear Lake, Minnesota, licensed in Minnesota (9267) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659449098

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. PAUL DANIEL ANDERSONCredential: DDS

Location Address4778 BANNING AVEWhite Bear Lake, MN 55110-3264

Mailing Address399 Locust StMahtomedi, MN 55115 · (651) 653-5283

Phone(651) 426-8998

Sole ProprietorYes

Enumeration DateDecember 2, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1659449098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MN · 9267

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4778 BANNING AVE, White Bear Lake, MN 55110

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul Daniel Anderson Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

WHITE BEAR SMILES, P.A.

Dentist

4778 BANNING AVE
WHITE BEAR LAKE, MN 55110

Ramsey County (651) 426-8998

DR. ELLEN PATRICIA SWIFT DDS

Dentist

4778 BANNING AVE
WHITE BEAR LAKE, MN 55110

Ramsey County (651) 426-8998

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 Paul Anderson's NPI number?

The NPI number for Paul Anderson is 1659449098. It was assigned to this individual provider in the NPPES registry on December 2, 2006.

Where is Paul Anderson located?

Paul Anderson practices at 4778 Banning Ave, White Bear Lake, MN 55110. The listed phone number is (651) 426-8998.

What is Paul Anderson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Paul Anderson enrolled in Medicare?

Yes. Paul Anderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paul Anderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.