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Deactivated NPI 1073677159 Deactivated / Inactive NPI Male Practitioner

Dr. Richard Walter Anderson , DDS FAGD

Dentist • Granite Falls, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Richard Anderson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 21, 2006
NPI Deactivation Date August 16, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Richard Anderson, DDS FAGD was a registered Dentist practicing in Granite Falls, MN. Throughout an active medical career spanning 17 years, Dr. Anderson provided care at the practice location at 1265 6TH STREET until profile deactivation on 2023-08-16.

Practice Location & Contact Primary Location

Practice Address

1265 6th Street

Granite Falls, MN 56241

Telephone 3205644281

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Granite Falls, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Granite Falls, MN (1863 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MN 7520

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 16, 2023

Record deactivated on August 16, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1265 6TH STREET, GRANITE FALLS, MN 56241 (Tel: 3205644281)

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Updated Business Mailing Address July 08, 2007

Registered at 1265 6TH STREET, GRANITE FALLS, MN 56241 (Tel: 3205644281)

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Provider Name / Credentials Updated July 08, 2007

Recorded as RICHARD ANDERSON, DDS FAGD

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

Dentist (License #7520 in MN)

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Initial NPI Registration & Enumeration December 21, 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: 1073677159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 21, 2006
Last Update: July 08, 2007
Deactivation Date: August 16, 2023

Mailing Address

1265 6th Street

Granite Falls, MN 56241

Phone: 3205644281

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.