Look up the most recent NPI and PECOS records

Dean Richard Anderson

Dentist

Dental Providers

1400 Hawthorne, Ste 2, Alexandria, MN 56308

PECOS Enrollment

Based on the most recent information from CMS, provider Dean Richard Anderson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1104851260
Provider Type
Individual
Full Name
Anderson, Dean Richard
Title
Dr.
Credential
DDS

Gender
Male
Sole Proprietor
No
Enumeration Date
7/11/2006
Last Updated
7/8/2007

Contact Information

Practice Location

1400 Hawthorne, Ste 2, Alexandria, MN 56308

(320) 762-2122

Unlisted Fax

Mailing Location

1400 Hawthorne, Ste 2, Alexandria, MN 56308

(320) 762-2122

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License 9007 Minnesota

Provider Identifiers

ID	Description	Issuer
ID 61005AN	Description Other	Issuer BCBS Minnesota

Dean Richard Anderson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Cannon, David L

Harnish, Dennis Wayne

Michael H. Collins, Dds, Pa

Gehring, Tim J

Johnson, Thomas G

Dentistry At The Center

Quam, Alan Douglas

Collins, Michael Harry

Thiery, Rick D

Aberle, Jacob Rodney