David Anderson, DDS
NPI 1083624621 · Prosthodontics · Green Bay, WI
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
David Anderson, DDS is a Prosthodontics provider in Green Bay, WI (NPI 1083624621).
Provider details
- NPI number
- 1083624621
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 5956 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-08
- Last updated
- 2007-07-08
Frequently asked questions
- What is David Anderson's NPI number?
- David Anderson's National Provider Identifier (NPI) is 1083624621, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is David Anderson's specialty?
- David Anderson is listed in the NPPES registry with a primary specialty of Prosthodontics (Dental Providers).
- Where is David Anderson located?
- David Anderson's practice location on file with NPPES is 430 Main St, Green Bay, WI 54301-5115.
- What is David Anderson's phone number?
- The practice phone number listed in the NPPES registry for David Anderson is (920) 431-0345.
- Does David Anderson accept Medicare?
- David Anderson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is David Anderson's NPI active?
- Yes — David Anderson's NPI (1083624621) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.