DR. LARRY DOUGLAS ANDERSON DDS, ABGD
NPI 1699825190
Dentist - General Practice in Deadwood, SD

Active since January 10, 2007
11736 IMPRESSIVE VIEW DRIVE, DEADWOOD, SD 57732(605) 578-7519(605) 578-7519 Get Directions Write a Review

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

About Dr. Larry Douglas Anderson Dds, Abgd NPPES

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

DR. LARRY DOUGLAS ANDERSON DDS, ABGD (NPI 1699825190) is an individual general practice provider in Deadwood, South Dakota, licensed in California (29012) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1699825190
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LARRY DOUGLAS ANDERSONCredential: DDS, ABGD
Location Address11736 IMPRESSIVE VIEW DRIVEDeadwood, SD 57732-0154
Mailing AddressPo Box 154Deadwood, SD 57732-0154 · (605) 578-7519 · Fax (605) 578-7519
Fax(605) 578-7519
Sole ProprietorYes
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1699825190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 29012
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.
11736 IMPRESSIVE VIEW DRIVE, Deadwood, SD 57732

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 Larry Anderson's NPI number?

The NPI number for Larry Anderson is 1699825190. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Larry Anderson located?

Larry Anderson practices at 11736 Impressive View Drive, Deadwood, SD 57732. The listed phone number is (605) 578-7519.

What is Larry Anderson'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 Larry 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.