Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brad Andersen, DMD

Individual provider General Practice Dentistry · NPI 1053761189

Brad Andersen, DMD is a General Practice Dentistry in Mountain City, Tennessee. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2016
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

144 Calvary Ln
Mountain City, TN 37683-4306
Phone: (423) 727-0655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D01443 (OR)

Record details

NPI number1053761189
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 20, 2016
Last updated in NPPESJuly 5, 2022
Certification dateJuly 5, 2022
Mailing address144 Calvary Ln, Mountain City, TN 37683-4306

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