SPRING VALLEY DENTAL (NPI# 1053476564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053476564 |
| Entity Type | Organization |
| Organization Name | SPRING VALLEY DENTAL |
| Other Organization Name | PRESTON DENTAL |
| Practice Address |
317 Saint Paul St Sw Preston MN 55965-1097 |
| Practice Telephone | 5077653634 |
| Practice Fax Number | 5077653645 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GENIE KUBLE (CONTACT OFFICER) |
| Authorized Official Telephone | 9204500157 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Preston Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952430753 | Spring Valley Dental | Dentist | 823 N Broadway St, Spring Valley, MN 55975-1029 | 2007-03-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SPRING VALLEY DENTAL CARE, P.C. | 37 Kennedy Drive, Spring Valley, Ny 109775319 |
| Street Address |
317 SAINT PAUL ST SW |
| City | PRESTON |
| State | MN |
| Zip Code | 55965-1097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437256989 | Richard Craft Cohen | Dentist | 317 Saint Paul St Sw, Preston, MN 55965-1097 | 2006-09-19 |
| 1841321510 | Tami Karban | Dentist | 317 Saint Paul St Sw, Preston, MN 55965-1097 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225596737 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 136 Main St Sw, Preston, MN 55965 | 2019-03-05 |
| 1811028178 | Arndt Chiropractic Services | Chiropractor | 124 Main St Sw, Preston, MN 55965 | 2007-03-08 |
| 1003976838 | City of Preston | Ambulance | 217 Fillmore St W., Preston, MN 55965 | 2006-12-11 |
| 1275614406 | Preston Eye Clinic LLC | Optometrist | 108 Saint Anthony St. South, Preston, MN 55965 | 2006-10-17 |
| 1497722318 | County of Fillmore | Home Health | 902 Houston St Nw, Preston, MN 55965 | 2006-03-01 |
| 1255462149 | Wenden Recovery Services, Inc | Counselor | 124 Main Street, Preston, MN 55965 | 2007-03-09 |
| 1720110406 | Randall Wayne Hoffman | Counselor | 124 Main Street, Preston, MN 55965 | 2007-03-09 |
| 1104036730 | Dustin Edward Arndt | Chiropractor | 124 Main St Se, Preston, MN 55965-0277 | 2007-05-23 |
| 1902889348 | The Evangelical Lutheran Good Samaritan Society | Home Health | 200 Saint Paul St, Preston, MN 55965-0607 | 2005-11-21 |
| 1306968383 | Fchs, Inc. | Intermediate Care Facility, Mentally Retarded | 100 Main 2 Se, Preston, MN 55965-0686 | 2007-04-03 |
| Find all providers in zip 55965 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275608804 | Kurt Owen Iverson | Dentist | 135 S State St, Preston, ID 83263-1240 | 2006-11-21 |
| 1649212689 | Brett D. Naylor | Dentist | 25 N 1st E, Preston, ID 83263-1325 | 2006-06-12 |
| 1407829104 | Thomas Richard Hull | Dentist | 35 S State St, Preston, ID 83263-1239 | 2006-02-12 |
| 1134457153 | Thomas R. Hull D.d.s. | Dentist | 35 S State St, Preston, ID 83263-1239 | 2009-12-02 |
| 1841321510 | Tami Karban | Dentist | 317 Saint Paul St Sw, Preston, MN 55965-1097 | 2007-03-07 |
| 1770691743 | Derek J Stokes | Dentist | 35 S State St, Suite A, Preston, ID 83263-1239 | 2006-08-29 |
| 1962510404 | Darrell Byron Kelley | Dentist | 35 S State St, Preston, ID 83263-1239 | 2006-08-25 |
| 1760490890 | Darron Harris Kelley | Dentist | 35 S State St, Preston, ID 83263-1239 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001149 | Kalyan Chakravarthy Kondreddi | Dentist | 327 Western Ave Ste A, Fergus Falls, MN 56537-2403 | 2020-10-20 |
| 1821696022 | Wyoming Family Dental | Dentist | 5378 East Viking Blvd., Wyoming, MN 55092 | 2020-10-12 |
| 1770190951 | Bluff Creek Dental Pllc | Dentist | 600 Market St Ste 130, Chanhassen, MN 55317-4570 | 2020-09-30 |
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1073128153 | Michael W Flinn Dds, Pa | Dentist | 200 Firewood Drive, Redwood, MN 56283 | 2020-09-15 |
| 1770196891 | Thomas J Hoeffel Dds Pa | Dentist | 2819 Hamline Ave N Ste 104, Roseville, MN 55113-7718 | 2020-08-28 |
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1679182687 | Downtown Dental Center Pllc | Dentist | 825 Nicollet Mall Ste 1427, Minneapolis, MN 55402-2703 | 2020-07-26 |
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1386252344 | Kacie Crowell Green | Dentist | 8900 Walnut St # 459, Rockford, MN 55373-5135 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
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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.