Anderson, Thomas A

Anderson, Thomas A is an individual health care provider with primary practice located at 1935 1St Ave Se , Cedar Rapids IA 52402-5332. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Anderson, Thomas A can be contacted via phone (319) 364-7108.

Contact Information

Primary practice address
1935 1St Ave Se Cedar Rapids IA 52402-5332
Phone: (319) 364-7108
Fax: (319) 364-6529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 06550 Iowa

Profile Details

NPI number 1346319183
LBN Legal business name Anderson, Thomas A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346319183 NPPES
Iowa MEDICAID 0170597

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