DR. BRUCE WILLIAM ANDERSON (NPI# 1124663067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124663067 |
| Entity Type | Individual |
| Full Name | DR. BRUCE WILLIAM ANDERSON |
| Credential | DDS |
| Practice Address |
2725 Fox Farm Rd Worthington MN 56187-3040 |
| Practice Telephone | 5073722869 |
| Mailing Telephone | 5073722869 |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-11-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
8245 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NONE | NONE | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649464207 | Bruce Nelson Anderson | Dentist | 16 Highland Rd, Wareham, MA 02571-1409 | 2007-08-28 |
| 1235275827 | Bruce G Anderson | Psychologist | 200 East St, Lycoming Clinton Joinder Board, Williamsport, PA 17701 | 2007-01-30 |
| 1083710404 | Bruce Woodruff Anderson | Dentist | 2310 E Oakland Ave Ste 13a, Bloomington, IL 61701-5884 | 2006-09-15 |
| 1104938281 | Bruce Anthony Anderson | Optometrist | 6400 O St, Lincoln, NE 68510-2351 | 2006-08-31 |
| 1639192388 | Bruce W. Anderson | Optometrist | 719 W Fletcher Ave, Tampa, FL 33612-3422 | 2006-07-25 |
| 1497783955 | Bruce John Anderson | Family Medicine | 2724 Isle Royale Ct, Burnsville, MN 55337-3424 | 2006-06-30 |
| 1083611743 | Bruce Robin Anderson | Chiropractor | 508 E 32nd St, Joplin, MO 64804-3902 | 2005-07-07 |
| 1386049211 | Bruce Anderson | Nurse Practitioner | 500 Campus Dr, Hancock, MI 49930-1452 | 2014-11-04 |
| 1083950612 | Bruce Anderson | Physical Therapist | 9000 E Nichols Ave, 9000 E. Nichols Ave, Centennial, CO 80112-3475 | 2012-12-31 |
| 1447564745 | Bruce Ray Anderson | Psychologist | 415 S West St, Suite 150, Royal Oak, MI 48067-2521 | 2010-07-29 |
| Street Address |
2725 FOX FARM RD |
| City | WORTHINGTON |
| State | MN |
| Zip Code | 56187-3040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316224363 | Paul Michael Carlson | Dentist | 507 South Shore Drive, Worthington, MN 56187 | 2011-11-04 |
| 1912216540 | Nobles County Jail | Clinic/Center | 1530 Airport Road, Worthington, MN 56187 | 2010-09-30 |
| 1306984539 | Edward Thomas Mcniece | Dentist | 1027 Second Ave, Worthington, MN 56187 | 2007-02-01 |
| 1053338780 | Diagnostic Radiologic Imaging Pa | Radiology | 1607 N Mcmillan St, Ste 1, Worthington, MN 56187 | 2006-07-17 |
| 1427014232 | Scott James Hoffman | Podiatrist | 1205 Ryans Road, Worthington, MN 56187 | 2006-04-21 |
| 1588654404 | Jason Coy Turner | Pharmacist | 511 10th St, Worthington, MN 56187 | 2005-10-22 |
| 1518433879 | Nicole Block | Nurse Practitioner | 1680 Diagonal Rd, Worthington, MN 56187 | 2018-10-15 |
| 1033423322 | Rachael R Dekker | Nurse Practitioner | 1018 6th Ave, Worthington, MN 56187 | 2010-07-29 |
| 1417196601 | Jonathan Gabriel Eli-phillips | Obstetrics & Gynecology | 1018 6th Ave, Worthington, MN 56187 | 2009-02-11 |
| 1174716245 | Sanford Clinic | Radiology | 1018 6th Ave, Worthington, MN 56187 | 2007-08-22 |
| Find all providers in zip 56187 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801280847 | Brandon Dennis Cook | Dentist | 6641 N High St Ste 104, Worthington, OH 43085-4038 | 2015-03-27 |
| 1487877650 | Bruce Wm. Anderson, D.d.s., Pa | Dentist | 1029 2nd Ave, Worthington, MN 56187-2380 | 2007-04-10 |
| 1427142983 | Catherine S Mcdevitt | Dentist | 7100 N High St, Suite 105, Worthington, OH 43085-2316 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100974 | Candid Minnesota, Pllc | Dentist | 15 S 9th St Ste 97, Minneapolis, MN 55402-3105 | 2020-09-23 |
| 1518572916 | Smile Orthodontics Stillwater LLC | Dentist | 2008 Ford Pkwy, Saint Paul, MN 55116-1931 | 2020-09-11 |
| 1508476482 | Sensational Smiles | Dentist | 950 Nicollet Mall Ste 220, Minneapolis, MN 55403-2534 | 2020-08-05 |
| 1457969636 | Eden Prairie Orthodontic Assoc | Dentist | 8200 Commonwealth Dr # 100, Eden Prairie, MN 55344-5365 | 2020-07-14 |
| 1164040457 | Colby Orthodontics LLC | Dentist | 9th St. and Nicollet Ave. Suite 531, Minneapolis, MN 55402 | 2020-07-13 |
| 1619595220 | Tracy Miao Liang | Dentist | 515 Delaware St Se # 320, Minneapolis, MN 55455-0357 | 2020-07-09 |
| 1477170108 | Jesse N Veil Dds Ms Pa | Dentist | 250 Fuller St S Ste 100, Shakopee, MN 55379-1324 | 2020-06-29 |
| 1598300675 | Dentalign, Pa | Dentist | 11942 Business Park Blvd, Champlin, MN 55316 | 2019-11-12 |
| 1528622883 | Margaret Therese Anderson | Dentist | 2019 Jefferson Rd Ste C, Northfield, MN 55057-3258 | 2019-04-23 |
| 1467936377 | Hani Alsibai | Dentist | 11806 Aberdeen St Ne Ste 240, Blaine, MN 55449-5136 | 2018-09-18 |
| Find all providers with the same taxonomy | ||||
| City | WORTHINGTON |
| Zip Code | 56187 |
Please comment or provide details below to improve the information on DR. BRUCE WILLIAM ANDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.