IndividualActive
Bradley Anderson, D.D.S
NPI 1174758361 · General Practice Dentistry · Fargo, ND
Provider details
- NPI number
- 1174758361
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2045 (ND)
Specialties & taxonomies
Dental Providers
Practice location
4521 38th Ave S
Fargo, ND 58104-8507
Phone: (701) 232-1368
Fax: (701) 232-4746
Approximate (ZIP-level) locationGet directions
Mailing address
4521 38th Ave S
Fargo, ND 58104-8507
Registry dates
- Enumerated
- 2009-05-18
- Last updated
- 2009-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.