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NPI 1871702282 · live from the CMS NPI Registry

Bonnie J. Anderson, D.D.S

Dentist in Bowman, ND. National Provider Identifier 1871702282, active.

NPI record

NPI1871702282 Type 1 · individual
StatusActive
Primary specialtyDentist 122300000X
Practice location20 First Avenue S.W., Bowman, ND 58623
Practice phone701-523-5651
Mailing addressP.O. Box E, Bowman, ND 58623
EnumeratedMay 22, 2007
Last updatedJuly 9, 2009
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, General Practice1223G0001X1771 (ND)
Dentist primary122300000X1771 (ND)

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