DR. COURTNEY ALLISON ANDERSON (NPI# 1568678985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568678985 |
| Entity Type | Individual |
| Full Name | DR. COURTNEY ALLISON ANDERSON |
| Credential | D.D.S |
| Practice Address |
1903 S 6th St Ste 4 Brainerd MN 56401-4599 |
| Practice Telephone | 2188291728 |
| Practice Fax Number | 2188291729 |
| Mailing Telephone | 9209654055 |
| Mailing Fax Number | 2188291728 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2018-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D11673 | MN | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 6669 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309662 | Courtney Elaine Anderson | Nurse Practitioner | 101 E W T Harris Blvd Ste 1110, Charlotte, NC 28262-3454 | 2020-08-31 |
| 1467082107 | Courtney Jean Anderson | Behavioral Analyst | 433 Nw Bucklin Hill Rd, Bremerton, WA 98311-9184 | 2020-01-22 |
| 1487149472 | Courtney Noel Anderson | Rehabilitation Practitioner | 5048 Jimmy Buffet St, North Las Vegas, NV 89031-0993 | 2018-06-22 |
| 1689066607 | Courtney Nicole Anderson | Behavioral Analyst | 416 Woodland Park Cir, Mary Esther, FL 32569-1574 | 2015-02-27 |
| 1477965457 | Courtney Anderson | Psychologist | 40 Avenue At The Cmn Ste 203, Shrewsbury, NJ 07702 | 2014-05-27 |
| 1306261946 | Courtney Anderson | Speech-Language Pathologist | 5880 Ridgewood Rd, Apt Q137, Jackson, MS 39211-2695 | 2014-02-18 |
| 1467753350 | Courtney Anderson | Speech-Language Pathologist | 808 S. Duncan Ave, Clearwater, FL 33756-4515 | 2010-11-08 |
| 1013543065 | Courtney Anderson | Peer Specialist | 4747 Earhart Blvd Ste D, New Orleans, LA 70125-1747 | 2020-03-20 |
| 1053972174 | Courtney Anderson | Spec/Tech, Pathology | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2019-06-28 |
| 1144785742 | Courtney Anderson | Specialist/Technologist | 901 8th St S, Moorhead, MN 56562-0001 | 2019-02-07 |
| Street Address |
1903 S 6TH ST STE 4 |
| City | BRAINERD |
| State | MN |
| Zip Code | 56401-4599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942382379 | Oral and Maxillofacial Surgery Associates, Ltd | Dentist | 1903 S 6th St Ste 4, Brainerd, MN 56401-4599 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396222832 | Nicholas James Manning | Physical Therapist | 7350 Clearwater Rd N, Baxter, MN 56401 | 2018-07-27 |
| 1952819757 | Hannah Marie Darabi | Physical Therapist | Essentia Health Rehabilitation Services, 2016 South Sixth Street, Brainer, MN 56401 | 2018-01-15 |
| 1154867406 | Nancy Ann Schauer | Social Worker | 823 Maple Street, Northern Pine Mental Health Center, Brainerd, MN 56401 | 2017-01-10 |
| 1336530310 | Audrey Jean Twit | Pharmacist | 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 | 2015-02-11 |
| 1245638584 | The Renneke Chiropractic Clinic | Physical Therapist | 623 Madison St., Brainerd, MN 56401 | 2014-12-19 |
| 1124420179 | Jenna Niggeler | Acupuncturist | 1001 Kingwood St Ste 119a, Brainerd, MN 56401 | 2014-09-22 |
| 1073933719 | Nicholas Adam Lesmeister | Orthopaedic Surgery | 2014 South 6th Street, Brainerd, MN 56401 | 2014-04-21 |
| 1073864666 | Jennifer L. Owens | Marriage & Family Therapist | 4706 Wilderness Ct Ste 101, Brainerd, MN 56401 | 2012-09-24 |
| 1619297447 | Christine Elaine Smalling | Licensed Practical Nurse | 6317 Estate Circle Drive, Brainerd, MN 56401 | 2010-06-03 |
| 1528241577 | Dannia Lor Vang | Pharmacist | 2024 South 6th St, Clinic Pharmacy, Brainerd, MN 56401 | 2007-12-13 |
| Find all providers in zip 56401 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649630609 | Kyle Burton Tyler | Oral & Maxillofacial Surgery | 515 Delaware St Se 7-314 Moos Tower, Minneapolis, MN 55455-0357 | 2016-03-02 |
| 1326296120 | Dan E Tolman | Oral & Maxillofacial Surgery | 2709 Merrihills Dr Sw, Rochester, MN 55902-1168 | 2008-09-04 |
| 1588823983 | Jacob Gregory Yetzer | Oral & Maxillofacial Surgery | 3366 Oakdale Ave N Ste 200, Robbinsdale, MN 55422-2962 | 2008-06-02 |
| 1992848808 | Christopher Michael De La Mater | Oral & Maxillofacial Surgery | 7136 University Ave Ne, Fridley, MN 55432-3100 | 2007-02-14 |
| 1518070648 | Joseph H Wang | Oral & Maxillofacial Surgery | 1101 First St S, Willmar, MN 56201 | 2006-08-15 |
| 1821010497 | Maxillofacial and Oral Surgery Pa | Oral & Maxillofacial Surgery | 7-174 Moos Tower, 515 Delaware Street Se, Minneapolis, MN 55155-0329 | 2006-07-24 |
| 1104898626 | David L Basi | Oral & Maxillofacial Surgery | 515 Delaware St Se, 7-174 Moos Tower, Minneapolis, MN 55455 | 2006-02-07 |
| 1710958368 | Paul F Bruer | Oral & Maxillofacial Surgery | 3209 West 76th Street, #303, Edina, MN 55435 | 2006-01-31 |
| 1144205626 | Lawrence A Palmersheim | Oral & Maxillofacial Surgery | 625 E Nicollet Blvd, Ste 205, Burnsville, MN 55337-6734 | 2005-12-07 |
| 1194363275 | Minnesota Oral and Facial Surgery Pllc | Oral & Maxillofacial Surgery | 2380 Troop Dr Unit 202, Sartell, MN 56377-4637 | 2019-12-19 |
| Find all providers with the same taxonomy | ||||
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| 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.