V DENTAL CENTER (NPI# 1013111202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013111202 |
| Entity Type | Organization |
| Organization Name | V DENTAL CENTER |
| Other Organization Name | V DENTAL INC. |
| Practice Address |
3903 Coon Rapids Blvd Nw Coon Rapids MN 55433-2520 |
| Practice Telephone | 7634222000 |
| Practice Fax Number | 7634275770 |
| Mailing Telephone | 7634222000 |
| Mailing Fax Number | 7634275770 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. LEWIS T. YANG (OFFICE MANAGER) |
| Authorized Official Telephone | 7634222000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 122300000X | Dentist | D10820 | MN | Dental Providers |
| X | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D10987 | MN | Dental Providers |
| Other Name | Type Code |
|---|---|
| V DENTAL INC. | Former Legal Business Name - Organization |
| Street Address |
3903 COON RAPIDS BLVD NW |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-2520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740206507 | Muon Vy | Dentist | 3903 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2520 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790131761 | Phong Ly | Dentist | 9920 Foley Blvd Nw Ste 110, Coon Rapids, MN 55433-5216 | 2016-05-10 |
| 1831509645 | Joshua Steven Bednar | Dentist | 3833 Coon Rapids Blvd Nw Ste 220, Coon Rapids, MN 55433-2597 | 2014-05-01 |
| 1407924509 | Laura M Kinney | Dentist | 97 85th Ave Nw, Coon Rapids, MN 55433-6022 | 2006-11-30 |
| 1295700334 | Melinda Jean Sundquist | Dentist | 13040 Riverdale Dr Nw, Suite 600, Coon Rapids, MN 55448-8406 | 2006-02-22 |
| 1821088402 | Bryan Daniel Sween | Dentist | 1557 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4799 | 2005-10-25 |
| 1790345007 | William Tran | Dentist | 3570 River Rapids Dr Nw # 110, Coon Rapids, MN 55448-4100 | 2019-06-18 |
| 1598322984 | Lavanya Rekha Inampudi | Dentist | 8960 Springbrook Dr Nw Ste 150, Coon Rapids, MN 55433-5809 | 2019-05-21 |
| 1386136760 | Ryan Michael Nahan | Dentist | 3570 River Rapids Dr Nw Ste 110, Coon Rapids, MN 55448-4100 | 2018-06-01 |
| 1124536859 | Tina A Nguyen | Dentist | 13040 Riverdale Dr Nw Ste 600, Coon Rapids, MN 55448-8419 | 2018-01-16 |
| 1457701377 | Preeti Gupta | Dentist | 8960 Springbrook Dr Nw Ste 150, Coon Rapids, MN 55433-5809 | 2016-06-21 |
| Find all providers in COON RAPIDS | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
Please comment or provide details below to improve the information on V DENTAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.