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Active NPI 1538237052 Individual Practitioner Male Practitioner

Dr. Edwin Walter Anderson , DDS

Dentist - General Practice • Big Rapids, MI

Professional Overview & Biography Verified Profile Summary

Dr. Edwin Anderson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Big Rapids, MI. Practice services are available at 415 SOUTH STATE STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

415 South State Street

Big Rapids, MI 493072049

Telephone 2312963571
Fax 2317962211
Associated Practice Facility / Clinic
🏢 Professional Dental Associates Pc Facility NPI 1992863401

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Big Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
12 Specialists

Practicing in Big Rapids, MI (4360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 2901010102

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4054912 (MI)
Commercial Insurance / Payer ID Bcbs
D101020 (MI)
Commercial Insurance / Payer ID United Concordia
652165 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Kevin Mathewson , DDS

Dentist - General Practice

NPI 1912072919

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 415 SOUTH STATE STREET, BIG RAPIDS, MI 493072049 (Tel: 2312963571)

📍
Updated Business Mailing Address July 08, 2007

Registered at 415 SOUTH STATE STREET, BIG RAPIDS, MI 493072049 (Tel: 2312963571)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EDWIN ANDERSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #2901010102 in MI)

🟢
Initial NPI Registration & Enumeration December 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538237052
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2006
Last Update: July 08, 2007
Sole Proprietor: No
Update or Correct Profile

Mailing Address

415 South State Street

Big Rapids, MI 493072049

Phone: 2312963571

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.