Clennan C Anderson in Minneapolis - Oral And Maxillofacial Surgery

Clennan C Anderson - NPI 1134156524

Clennan C Anderson is a Oral And Maxillofacial Surgery in Minneapolis, Minnesota. Clennan C Anderson practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Clennan C Anderson is 1134156524. The last update date is 2007-07-08.

Clennan C Anderson's current location address is 515 Delaware St Se, Minneapolis, Minnesota. You can contact this provider via phone number 6126249959. The mailing address for Clennan C Anderson is 515 Delaware St Se, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Clennan C Anderson
Address 515 Delaware St Se, Minneapolis, Minnesota
Phone Number 6126249959
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1134156524
Provider Enumeration Date 2006-06-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 515 Delaware St Se
City Minneapolis
State Minnesota (MN)
Post Code 554550348
Phone Number 6126249959
Fax Number

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No D7283
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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FAQs about Clennan C Anderson

What is the unique 10-digit identification code issued to Clennan C Anderson by the Centers for Medicare & Medicaid Services?

The Clennan C Anderson has been assigned the NPI (National Provider Identifier) 1134156524 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Clennan C Anderson's facilities are situated?

The facilities of Clennan C Anderson are physically located at the following address: 515 Delaware St Se, Minneapolis, MN, 554550348.

What is Clennan C Anderson's area of expertise and its corresponding taxonomy classification?

The Clennan C Anderson's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their areas of practice.

On what date did the Clennan C Anderson receive the assignment of its 1134156524 from the Centers for Medicare & Medicaid Services?

The Clennan C Anderson was issued its 1134156524 by the Centers for Medicare & Medicaid Services on 2006-06-28.

As of what date were the details pertaining to Clennan C Anderson last refreshed?

The information related to the Clennan C Anderson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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