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NPI 1730253428 · live from the CMS NPI Registry

Gregory A. Anderson, D.D.S.

Dentist, General Practice in Williston, ND. National Provider Identifier 1730253428, active.

NPI record

NPI1730253428 Type 1 · individual
StatusActive
Primary specialtyDentist, General Practice 1223G0001X
Practice location501 Main St, Suite 4, Williston, ND 58801
Practice phone701-577-2261
Mailing addressPo Box 1127, Williston, ND 58802
EnumeratedNovember 17, 2006
Last updatedJuly 8, 2007
Sole proprietorNo
Other namesGreg Anderson

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, General Practice primary1223G0001X1682 (ND)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.