NPI
Timothy Alworth Anderson
NPI 1104117456
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- D.D.S
- Type
- Individual
- Enumeration date
- 2011-04-20
- Last updated
- 2012-06-28
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Specialties
Licenses
- License MN
- D13133
Location
- Practice location
- 2059 Robert St S
- City
- West St Paul MN
- Postal code
- 55118-3924
- Phone
- (651) 457-9633
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Dentists in West St Paul, MN. 7 with this primary taxonomy in the public file.
Other NPIs in West St Paul, MN. 237 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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