Brad Andersen, D.M.D.
NPI #1053761189 in Mountain City, Tennessee
Provider Information
- NPI Number
- 1053761189
- Entity Type
- Individual
- Name
- Brad Andersen, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Jun 20, 2016
- Last Updated
- Jul 5, 2022
Practice Location
- Address
- 144 CALVARY LN
- City
- Mountain City
- State
- Tennessee
- ZIP Code
- 37683-4306
- Phone
- (423) 727-0655
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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