Anja Nicole Amundson, D.D.S.

Dentist · Appleton, WI

Individual Active NPI

NPI number 1245975119

Practice location

315 W Wisconsin Ave
Appleton, WI 54911-4355
Phone
(920) 731-2211

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NPI record

NPI
1245975119
Entity type
Individual (Type 1)
Enumeration date
May 4, 2022
Last updated
July 26, 2025
Certified
July 26, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 6000044-15 WI
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

837 Kelly Rd
Hudson, WI 54016-7640
Phone
(715) 410-4398

About Dr. Amundson

Anja Nicole Amundson, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 315 W Wisconsin Ave, Appleton, WI 54911-4355. The NPI number 1245975119 was assigned on May 4, 2022 and the record was last updated on July 26, 2025.

Dr. Amundson lists a license in the registry: #6000044-15 (WI) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Anja Nicole Amundson, D.D.S.?

The NPI number is 1245975119.

What is the phone number of Dr. Amundson?

The phone number listed for the practice location is (920) 731-2211.

Where is Dr. Amundson located?

315 W Wisconsin Ave, Appleton, WI 54911-4355.

What is the taxonomy code for Dr. Amundson?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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