IndividualActive
Andrew Thorsen, DDS
NPI 1093005647 · General Practice Dentistry · Jber, AK
Provider details
- NPI number
- 1093005647
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
2900 Doolittle Dr
Ellsworth Afb, SD 57706-4821
Registry dates
- Enumerated
- 2011-04-17
- Last updated
- 2018-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.