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

Dr. Macy Ruth Anderson, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124641303

Dr. Macy Ruth Anderson, DDS is a Student in an Organized Health Care Education/Training Program in Glendale, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2020.

Licensed in
WI
In the registry since
2020
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

5150 N Port Washington Rd Ste 201
Glendale, WI 53217-5400
Phone: (414) 964-8850
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 1002304 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124641303
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 22, 2020
Last updated in NPPESAugust 16, 2022
Certification dateAugust 16, 2022
Mailing address5150 N Port Washington Rd Ste 201, Glendale, WI 53217-5400

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