Anderson, Gary C

Anderson, Gary C is an individual health care provider with primary practice located at 2500 Como Avenue - Ms 31100A Health Partners Como Clinic, St Paul MN 55108-1460. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Anderson, Gary C can be contacted via phone (651) 641-6200.

Contact Information

Primary practice address
2500 Como Avenue - Ms 31100A Health Partners Como Clinic St Paul MN 55108-1460
Fax: (651) 641-6205
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8992 Minnesota

Profile Details

NPI number 1851482152
LBN Legal business name Anderson, Gary C
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Dec 15th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851482152 NPPES
Minnesota MEDICAID 165320200

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