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Anderson Family Dental PA

NPI 1356697973ActiveOrganization· Dentist, General Practice· Coleraine, MN

Dentist, General Practice in Coleraine, Minnesota, registered in NPPES in August 2012. The authorized official on file is Jordan David Anderson, DDS, Owner.

Overview

NPI1356697973
StatusActive
Entity typeOrganization
NPI issuedAug 1, 2012
Last updated in NPPESAug 1, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X12543MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist, General Practice providers in Coleraine

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