JUST KIDS DENTAL INC (NPI# 1013233873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013233873 |
| Entity Type | Organization |
| Organization Name | JUST KIDS DENTAL INC |
| Practice Address |
325 11th Ave Two Harbors MN 55616-1300 |
| Mailing Address |
Po Box 146 Two Harbors MN 55616-0146 |
| Practice Telephone | 2182064328 |
| Practice Fax Number | 2188345533 |
| Mailing Telephone | 2182064328 |
| Mailing Fax Number | 2188345533 |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |
| Authorized Official Name | MS. STACEY ANDERSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2182064328 |
| Authorized Official Credential | RDH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | Dental Providers |
| Street Address |
325 11TH AVE |
| City | TWO HARBORS |
| State | MN |
| Zip Code | 55616-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023067642 | Lake View Memorial Hospital, Incorporated | General Acute Care Hospital | 325 11th Ave, Two Harbors, MN 55616 | 2006-05-09 |
| 1750989604 | Abigail Marie Lingwall | Social Worker | 325 11th Ave, Two Harbors, MN 55616-1300 | 2020-10-13 |
| 1851918593 | Shana Lea Roberts | Social Worker | 325 11th Ave, Two Harbors, MN 55616-1300 | 2020-06-29 |
| 1154840379 | Lanna L Schwab | Acupuncturist | 325 11th Ave, Two Harbors, MN 55616-1300 | 2017-09-19 |
| 1205196086 | Lake View Memorial Hospital, Inc | Non-Pharmacy Dispensing Site | 325 11th Ave, Two Harbors, MN 55616-1300 | 2012-05-25 |
| 1588936884 | Lake View Urgent Care | Clinic/Center | 325 11th Ave, Two Harbors, MN 55616-1300 | 2012-02-01 |
| 1376663468 | Human Development Center | Case Management | 325 11th Ave, Two Harbors, MN 55616-1300 | 2007-03-30 |
| 1932246923 | Lake View Memorial Hospital, Inc. | Emergency Medicine | 325 11th Ave, Two Harbors, MN 55616-1300 | 2007-01-31 |
| 1245328707 | Lake View Memorial Hospital, Inc. | Medicare Defined Swing Bed Unit | 325 11th Ave, Two Harbors, MN 55616-1300 | 2006-10-10 |
| 1063500528 | Lake View Memorial Hospital, Inc | Skilled Nursing Facility | 325 11th Ave, Two Harbors, MN 55616-1300 | 2006-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265582472 | Paul Martin Trygstad | Dentist | 123 Waterfront Drive, Two Harbors, MN 55616 | 2007-01-11 |
| 1457346223 | Lake County Ambulance Service | Ambulance | 421 20th Ave, Two Harbors, MN 55616 | 2005-09-16 |
| 1851818264 | Casandra Lynn Dallum | Dental Hygienist | Po Box 146, Two Harbors, MN 55616-0146 | 2017-08-25 |
| 1700922960 | Amy Lynn Phipps-poe | Physical Therapist | 1503 7th Ave, Two Harbors, MN 55616-1102 | 2007-01-29 |
| 1891018883 | Vision Pro Optical | Optometrist | 1028 7th Ave, Two Harbors, MN 55616-1149 | 2010-03-05 |
| 1619015922 | Sally Elizabeth Stout | Chiropractor | 1026 7th Ave, Two Harbors, MN 55616-1149 | 2007-02-01 |
| 1871623769 | Stout Chiropractic Care, Sc | Clinic/Center | 1026 7th Ave, Two Harbors, MN 55616-1149 | 2007-03-07 |
| 1134150832 | Firstsolutions | Clinic/Center | 1010 4th St, Two Harbors, MN 55616-1200 | 2006-07-05 |
| 1205498631 | Amy Jo Suomi | Nurse Practitioner | 1010 4th St, Two Harbors, MN 55616-1200 | 2019-07-06 |
| 1245688878 | Eric Tolga Hanhan | Family Medicine | 1010 4th St, Two Harbors, MN 55616-1200 | 2016-05-24 |
| Find all providers in zip 55616 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770860157 | Mary Mark | Dental Hygienist | 1313 Fairgrounds Road, Po Box 146, Two Harbors, MN 55616-3000 | 2011-11-13 |
| 1508080615 | Stacey Francis Anderson | Dental Hygienist | 2454 Highway 2, Two Harbors, MN 55616-3000 | 2007-04-12 |
| 1851818264 | Casandra Lynn Dallum | Dental Hygienist | Po Box 146, Two Harbors, MN 55616-0146 | 2017-08-25 |
| 1730559956 | Nicole Anne Humes | Dental Hygienist | 1313 Fairgrounds Rd, Two Harbors, MN 55616-4600 | 2015-09-30 |
| 1912259557 | Carie Ann Radabaugh | Dental Hygienist | 1313 Fairgrounds Rd, Two Harbors, MN 55616-4600 | 2012-10-05 |
| 1548510670 | Shanna Lee Denzer | Dental Hygienist | 1313 Fairgrounds Rd, Two Harbors, MN 55616-4600 | 2012-09-17 |
| 1346527512 | Dorey May Hage | Dental Hygienist | 2454 Highway 2, Two Harbors, MN 55616-3000 | 2011-11-15 |
| 1619258357 | Jamie Ann Grajewski | Dental Hygienist | 1313 Fairgrounds Rd, Two Harbors, MN 55616-4600 | 2011-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104440825 | Sara Marie Anderson | Dental Hygienist | 6213 Saint Croix Trl N Apt 208, Oak Park Heights, MN 55082-6967 | 2020-05-29 |
| 1760027460 | Claire Roesler | Dental Hygienist | 903 Center St W # 103, Rochester, MN 55902-6278 | 2019-11-18 |
| 1225689060 | Kylie Anderson | Dental Hygienist | 903 Center St W Ste 130, Rochester, MN 55902-6278 | 2019-09-23 |
| 1770130387 | Sandra Kay Weitemier | Dental Hygienist | 25555 Gramford Ave, Wyoming, MN 55092-9356 | 2019-08-20 |
| 1912552803 | Gabrielle Anne Yoon | Dental Hygienist | 321 Labree Ave N, Thief River Falls, MN 56701-2019 | 2019-08-07 |
| 1841758851 | Susan Janine Ferrell | Dental Hygienist | East Side Dental, 895 East 7th Street, St Paul, MN 55106 | 2019-03-08 |
| 1619435682 | Maureen O'sullivan | Dental Hygienist | 385 S Owasso Blvd W, Roseville, MN 55113-2119 | 2019-03-07 |
| 1598237307 | Kelli Marie Fena | Dental Hygienist | 1613 Farm Rd S, Tower, MN 55790-5579 | 2018-12-19 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1053829721 | Rhonda Jean Schwalbe | Dental Hygienist | 727 4th St N, Virginia, MN 55792-2369 | 2018-01-16 |
| Find all providers with the same taxonomy | ||||
| City | TWO HARBORS |
| Zip Code | 55616 |
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| 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.