KIRA JEANNETTE POWELL (NPI# 1073121166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073121166 |
| Entity Type | Individual |
| Full Name | KIRA JEANNETTE POWELL |
| Credential | DDS |
| Practice Address |
20460 County Road 11 Nw Big Lake MN 55309-4851 |
| Mailing Address |
Po Box 308 Monticello MN 55362-0308 |
| Practice Telephone | 7632637100 |
| Practice Fax Number | 7632637114 |
| Mailing Telephone | 7632637100 |
| Mailing Fax Number | 7632637100 |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D14409 | MN | Dental Providers |
| Street Address |
20460 COUNTY ROAD 11 NW |
| City | BIG LAKE |
| State | MN |
| Zip Code | 55309-4851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356986475 | Barbro E Strom Langley | Technician | 16901 River View Cir, Big Lake, MN 55309 | 2019-11-13 |
| 1629589544 | Pdg, Pa | Clinic/Center | 16991 198th Ave Nw, Big Lake, MN 55309 | 2017-10-18 |
| 1669821765 | Laura Ann Dill | Dentist | 290 Eagle Lake Rd N, Big Lake, MN 55309 | 2016-06-09 |
| 1295008068 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 171 Henry Road, Big Lake, MN 55309 | 2012-02-09 |
| 1013280882 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 177 Henry Road, Big Lake, MN 55309 | 2012-02-09 |
| 1760704712 | Mary Ellen Venzke | Adult Companion | 19729 183rd Avenue, Big Lake, MN 55309 | 2010-02-18 |
| 1174700611 | Country Services Inc | Case Management | 641 Park Ave E, Big Lake, MN 55309 | 2008-01-28 |
| 1942481593 | Monticello Dental Group | Dentist | 20460 Co. Rd.11 Nw, Big Lake, MN 55309 | 2007-11-23 |
| 1336367242 | Family Prospective Resources, Inc | Marriage & Family Therapist | 35 Lake St So, Big Lake, MN 55309 | 2007-04-23 |
| 1598983470 | Jennifer Ann Lawrence | Marriage & Family Therapist | 35 Lake Street South #200, Big Lake, MN 55309 | 2007-04-23 |
| Find all providers in zip 55309 | ||||
| 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 |
|---|---|---|---|---|
| 1942481593 | Monticello Dental Group | Dentist | 20460 Co. Rd.11 Nw, Big Lake, MN 55309 | 2007-11-23 |
| 1336242510 | Reed Douglas Dill | Dentist | 171 Lake St N, Big Lake, MN 55309-9254 | 2006-09-06 |
| 1366050288 | Peter Kuefler | Dentist | 290 Eagle Lake Rd N, Big Lake, MN 55309-9243 | 2020-07-16 |
| 1215307061 | Modern Dental Professionals Mn PC | Dentist | 195 Jefferson Blvd, Big Lake, MN 55309-9572 | 2015-10-05 |
| 1518141548 | Big Lake Dental, Pa | Dentist | 16991 198th Avenue Nw, Big Lake, MN 55309-0249 | 2007-12-27 |
| 1255528402 | Rawan Yaghi | Dentist | 195 Jefferson Blvd, Big Lake, MN 55309-9572 | 2007-10-02 |
| 1902937782 | Roger Joseph Bromaghim | Dentist | 16991 198th Avenue Nw, Big Lake, MN 55309-0249 | 2007-03-07 |
| 1013060706 | Kamal Ahmed | Dentist | 195 Jefferson Blvd, Big Lake, MN 55309-9572 | 2007-01-18 |
| 1013069012 | Dental Services Inc | Dentist | 195 Jefferson Blvd, Big Lake, MN 55309-9572 | 2007-01-18 |
| 1396897310 | Jagannathan Ramakrishnan | Dentist | 195 Jefferson Blvd, Big Lake, MN 55309-9572 | 2007-01-18 |
| Find all providers in BIG LAKE | ||||
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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.