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

Kylie Miranda Anderson, ADT

Individual provider Dental Hygienist · NPI 1225689060

Kylie Miranda Anderson, ADT is a Dental Hygienist in Buffalo, Minnesota. Licensed in Minnesota. Registered with an NPI since 2019.

Licensed in
MN
In the registry since
2019
Specialties on file
2

Practice location Address checks out

3650 Braddock Ave NE
Buffalo, MN 55313-3672
Phone: (763) 270-6900
Show map & directions

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

Specialties & licences

Dental Therapist (primary) Taxonomy 125J00000X · Licence DT128 (MN)
Dental Hygienist Taxonomy 124Q00000X · Licence H10758 (MN)

Record details

NPI number1225689060
Entity typeIndividual (Type 1)
GenderFemale
Credentials ADT
Sole proprietorNo
NPI enumeratedSeptember 23, 2019
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025