DR. DWIGHT ANTHONY ANDERSON (NPI# 1649871740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649871740 |
| Entity Type | Individual |
| Full Name | DR. DWIGHT ANTHONY ANDERSON |
| Credential | DDS, MS |
| Practice Address |
2805 Campus Dr Ste 245 Plymouth MN 55441-2678 |
| Mailing Address |
1524 Nw 20th St Oklahoma City OK 73106-4016 |
| Practice Telephone | 7018990473 |
| Mailing Telephone | 7018990473 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| 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 |
D14497 | MN | Dental Providers |
| Street Address |
2805 CAMPUS DR STE 245 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55441-2678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
| 1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
| 1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
| 1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| 1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
| 1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
| 1679787279 | Vinay Ravi | Radiology | 2955 Xenium Ln N Ste 40, Plymouth, MN 55441 | 2007-05-10 |
| Find all providers in zip 55441 | ||||
| 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 |
|---|---|---|---|---|
| 1013314244 | Karla Maria Alvarado | Dentist | 51 Long Pond Rd, Plymouth, MA 02360-2670 | 2014-12-03 |
| 1558764597 | Group Health Plan, Inc | Dentist | 4155 County Rd 101 N, Plymouth, MN 55446-2308 | 2014-10-06 |
| 1861809055 | Rosemary Lelich | Dentist | 3090 Quinwood Ln N, Plymouth, MN 55441-2807 | 2014-07-19 |
| 1427264217 | Nicole S Wright | Dentist | 9416 South Main, Ste 111, Plymouth, MI 48170 | 2007-05-16 |
| 1033263660 | Heather M. Carr | Dentist | 3455 Plymouth Blvd, Plymouth, MN 55447-1540 | 2007-01-22 |
| 1619985512 | Peter Tompkins Cressman | Dentist | 8 1/2 Spring Lane, Plymouth, MA 02360 | 2006-08-04 |
| 1710475546 | Plymouth Orthodontics | Dentist | 51 Long Pond Rd, Plymouth, MA 02360-2670 | 2018-04-26 |
| 1700150588 | Robert A. Ritucci, D.m.d., P.C. | Dentist | 110 Long Pond Rd, Suite #122, Plymouth, MA 02360-2642 | 2012-02-27 |
| 1750532511 | Drs Bookwalter,fee & Wright, P.C. | Dentist | 9416 S Main St, Suite 111, Plymouth, MI 48170-4157 | 2008-10-09 |
| 1821269978 | Ryan Orthodontics PC | Dentist | 146 Court St, Plymouth, MA 02360-3851 | 2008-03-17 |
| Find all providers in PLYMOUTH | ||||
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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.