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

Dr. Andrew Thomas Chadbourn, DMD

Individual provider Dentist · NPI 1184030686

Dr. Andrew Thomas Chadbourn, DMD is a Dentist in Blaine, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2014
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

9120 Baltimore St NE
Blaine, MN 55449-4337
Phone: (763) 786-1560
Fax: (763) 786-4390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D13439 (MN)

Record details

NPI number1184030686
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 3, 2014
Last updated in NPPESJuly 3, 2014

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