DR. PAUL DANIEL ANDERSON (NPI# 1659449098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659449098 |
| Entity Type | Individual |
| Full Name | DR. PAUL DANIEL ANDERSON |
| Credential | DDS |
| Practice Address |
4778 Banning Ave White Bear Lake MN 55110-3264 |
| Mailing Address |
399 Locust St Mahtomedi MN 55115 |
| Practice Telephone | 6514268998 |
| Mailing Telephone | 6516535283 |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 9267 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184188146 | Paul Taylor Anderson | Specialist/Technologist | 11672 Stockmeyer Dr, El Paso, TX 79936-0813 | 2019-01-24 |
| 1184096976 | Paul David Anderson Jr. | Home Health Aide | 118 Morell Dr, Simpsonville, SC 29681-4677 | 2015-10-20 |
| 1083850671 | Paul S Anderson | Counselor | 220 Vinita Rd, Nowata, OK 74048-9443 | 2009-01-02 |
| 1063663540 | Paul D. Anderson | Physical Therapist | 75 W Main Street Ct Ste 100, Alpine, UT 84004-5602 | 2008-10-02 |
| 1528250396 | Paul S Anderson | Anesthesiology | 128 Peachtree Ln Ste B, Advance, NC 27006-6783 | 2007-08-15 |
| 1871783050 | Paul Leroy Anderson Jr. | Dentist | 882 Lancaster Ave, Devon, PA 19333 | 2007-07-25 |
| 1508065939 | Paul Edward Anderson | General Practice | Harboldt Rd, Altamont, TN 37301 | 2007-07-16 |
| 1629113303 | Paul Stanley Anderson | Naturopath | 2150 N. 107th St, Suite 400, Seattle, WA 98133-9009 | 2007-02-21 |
| 1043351380 | Paul Dederick Anderson | Internal Medicine | 11272 Merritt St # F, Castroville, CA 95012-3422 | 2007-02-09 |
| 1720174733 | Paul M Anderson | Specialist | 2010 Chestnut, Suite F, Van Buren, AR 72956 | 2006-10-05 |
| Street Address |
4778 BANNING AVE |
| City | WHITE BEAR LAKE |
| State | MN |
| Zip Code | 55110-3264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396202917 | White Bear Smiles, P.a. | Dentist | 4778 Banning Ave, White Bear Lake, MN 55110-3264 | 2019-03-01 |
| 1750818183 | Ellen Patricia Anderson | Dentist | 4778 Banning Ave, White Bear Lake, MN 55110-3264 | 2017-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467071084 | St. Catherine University School Based Health Clinic | Nurse Practitioner | 5045 Division Ave, White Bear Lake, MN 55110 | 2020-04-14 |
| 1922450618 | Lisa Marie Thatcher | Podiatrist | 4653 White Bear Pkwy., St. Paul, MN 55110 | 2016-07-06 |
| 1558725598 | White Bear Dentists, PC | Dentist | 1970 Buerkle Road, White Bear Lake, MN 55110 | 2016-04-06 |
| 1124486246 | Julie Blaske | Counselor | 1310 Hwy 96 E, Suite 200, White Bear Lake, MN 55110 | 2016-02-03 |
| 1851761514 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 1920 Buerkle Rd, White Bear Lake, MN 55110 | 2015-10-06 |
| 1821496969 | Leah Eichmiller | Acupuncturist | 2183 3rd Street, C/o Indulge Salon, White Bear Lake, MN 55110 | 2014-12-05 |
| 1447672084 | Ashley Rath | Chiropractor | 1247 Gun Club Rd., White Bear Lake, MN 55110 | 2014-01-16 |
| 1790121291 | Advanced Medical Home Care, LLC | Home Health | 2555 County Road E East, Suite 101, White Bear Lake, MN 55110 | 2013-05-11 |
| 1134468465 | Emergency Physicians Professional Association | Clinic/Center | 1159 E. County Road E, Vadnais Heights, MN 55110 | 2013-02-06 |
| 1639444284 | Rebecca Lynn Blaede | Counselor | 4858 Banning Avenue, White Bear Lake, MN 55110 | 2012-03-15 |
| Find all providers in zip 55110 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275981276 | Colleen Holtz | Dentist | 1970 Buerkle Rd, White Bear Lake, MN 55110-1300 | 2016-05-31 |
| 1780095828 | Dr.crandall D.d.s | Dentist | 2300 Highway 96 E, White Bear Lake, MN 55110-2620 | 2014-05-12 |
| 1811212624 | David E Wolff | Dentist | 4641 White Bear Pkwy, White Bear Lake, MN 55110-3300 | 2010-04-05 |
| 1821148347 | Sarah Elizabeth Boo | Dentist | 4717 Highway 61 N, White Bear Lake, MN 55110-3227 | 2007-01-10 |
| 1386730901 | Carl William Rindelaub | Dentist | 1895 East County Road E, White Bear Lake, MN 55110 | 2006-10-04 |
| 1396840559 | Tara Marie Wagner | Dentist | 4700 White Bear Parkway, White Bear Lake, MN 55110-3336 | 2006-09-13 |
| 1376556118 | David Edward Crandell | Dentist | 2300 E Highway 96, White Bear Lake, MN 55110-2620 | 2006-08-14 |
| 1396202917 | White Bear Smiles, P.a. | Dentist | 4778 Banning Ave, White Bear Lake, MN 55110-3264 | 2019-03-01 |
| 1750818183 | Ellen Patricia Anderson | Dentist | 4778 Banning Ave, White Bear Lake, MN 55110-3264 | 2017-05-16 |
| 1730595729 | Shveta Setia | Dentist | 1430 Highway 96, Healthpartners White Bear Lake Dental, White Bear Lake, MN 55110-3653 | 2014-07-10 |
| Find all providers in WHITE BEAR LAKE | ||||
| City | WHITE BEAR LAKE |
| Zip Code | 55110 |
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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.