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

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1134178163

Theodore Michael Anderson, DMD is a Maxillofacial Surgery in Sheboygan, Wisconsin. Qualified in 1993, 33 years ago. Licensed in Wisconsin.

Years since qualifying
33
Licensed in
WI
In the registry since
2006
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

3637 Wilgus Ave
Sheboygan, WI 53081
Phone: (920) 458-8213
Fax: (920) 459-9797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 4516015 (WI)

Record details

NPI number1134178163
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 8, 2006
Last updated in NPPESJanuary 6, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Not indicated

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