Individual provider · Type 1 NPI

Courtney Allison Anderson, D.D.S

Oral and Maxillofacial Surgery (Dentist) · Mankato, MN

NPI number 1568678985 Active

Practice location

1410 Madison Ave
Mankato, MN 56001-5440

Fax (507) 344-8759

Specialties and licenses

TaxonomyCodeLicense
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X6669 (WI)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XD11673 (MN)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1568678985

Courtney Allison Anderson, D.D.S's National Provider Identifier is 1568678985, issued on May 15, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Mankato, MN. The record was last updated on Oct 3, 2025.