Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053761189 Individual Practitioner Male Practitioner

Dr. Brad Andersen , DMD

Dentist - General Practice • Mountain City, TN

Professional Overview & Biography Verified Profile Summary

Dr. Brad Andersen, DMD is a registered healthcare professional specializing in Dentist - General Practice in Mountain City, TN. Practice services are available at 144 CALVARY LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

144 Calvary Ln

Mountain City, TN 376834306

Telephone 4237270655
Associated Practice Facility / Clinic
🏢 Crown Haus, Pllc Facility NPI 1891665006

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mountain City, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Mountain City, TN (2175 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

CMS Verified: 2022-07-05
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D01443

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Hannah Hosier , OTR, L

Occupational Therapist - Pediatrics

NPI 1881341295

Occupational Therapist Registered, L

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 05, 2022

Registered at 144 CALVARY LN, MOUNTAIN CITY, TN 376834306 (Tel: 4237270655)

📍
Updated Business Mailing Address July 05, 2022

Registered at 144 CALVARY LN, MOUNTAIN CITY, TN 376834306 (Tel: 4237270655)

NPI Profile Active June 20, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2016

Registered at 1539 W HARVARD AVE, ROSEBURG, OR 974712873 (Tel: 5416735150)

📍
Updated Business Mailing Address June 20, 2016

Registered at 1539 W HARVARD AVE, ROSEBURG, OR 974712873 (Tel: 5416735150)

👤
Provider Name / Credentials Updated June 20, 2016

Recorded as BRAD ANDERSEN, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2016

Dentist (License #D01443 in OR)

🟢
Initial NPI Registration & Enumeration June 20, 2016

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: 1053761189
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2016
Last Update: July 05, 2022
Sole Proprietor: Yes

Mailing Address

144 Calvary Ln

Mountain City, TN 376834306

Phone: 4237270655

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.