TRUE NORTH COMMUNITY DENTAL CLINIC, LLC (NPI# 1073123030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073123030 |
| Entity Type | Organization |
| Organization Name | TRUE NORTH COMMUNITY DENTAL CLINIC, LLC |
| Practice Address |
415 East First Avenue Shakopee MN 55379 |
| Practice Telephone | 9524035149 |
| Mailing Telephone | 9524035149 |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |
| Authorized Official Name | EMILY FISCHER (CLINIC DIRECTOR) |
| Authorized Official Telephone | 9524035149 |
| Authorized Official Credential | A.D.T |
| 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 |
|---|---|
| True North Community Dental Clinic | Doing Business As Name - Organization |
| Street Address |
415 EAST FIRST AVENUE |
| City | SHAKOPEE |
| State | MN |
| Zip Code | 55379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154988236 | Benedictine Living Community of Shakopee LLC | Assisted Living Facility | 1705 Windermere Way, Shakopee, MN 55379 | 2019-05-23 |
| 1346741394 | Expressions In Motion LLC | Speech-Language Pathologist | 1221 East 4th Ave., Shakopee, MN 55379 | 2018-02-26 |
| 1124529334 | A.m Dental Professionals P.a | Clinic/Center | 1036 1st Ave E, Shakopee, MN 55379 | 2018-02-22 |
| 1538522024 | Jesse Sylvester | Chiropractor | 1275 Ramsey Street South, #600, Shakopee, MN 55379 | 2016-04-01 |
| 1376903963 | Dakota Best Transportation LLC | Non-emergency Medical Transport (VAN) | 449 Dakota Street Apt 2, Shakopee, MN 55379 | 2016-02-25 |
| 1568856631 | Tatyana Mishkin Gleyzer | Nurse Practitioner | 1010 West Sixth Avenue, Shakopee, MN 55379 | 2015-03-26 |
| 1245634039 | Kalli Ledel | Pharmacist | 1198 Vierling Dr, Cub Pharmacy, Shakopee, MN 55379 | 2014-10-22 |
| 1487992913 | Jennifer Elizabeth Boyd | Nurse Practitioner | Pediatrics 1415 St Francis Ave, Park Nicollet Clinic-shakopee, Shakopee, MN 55379 | 2013-01-17 |
| 1013253798 | Acts Therapy LLC | Counselor | 8170 Old Carriage Court North, 215, Shakopee, MN 55379 | 2012-12-27 |
| 1366796716 | Manzaler Orietta Lohrey | Counselor | 7471 Devin Ln, Shakopee, MN 55379 | 2012-11-07 |
| Find all providers in zip 55379 | ||||
| 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 |
|---|---|---|---|---|
| 1891140075 | Merissa Richter | Dentist | 4180 Dean Lakes Blvd, Shakopee, MN 55379-2851 | 2016-04-26 |
| 1619103827 | Katie Ferraz-souza | Dentist | 250 Fuller St. S, Suite 250, Shakopee, MN 55379 | 2009-06-02 |
| 1689866600 | Lindsey Vossen | Dentist | 1759 17th Ave E, Shakopee, MN 55379-3372 | 2007-08-14 |
| 1346462355 | Crossings Dental Care | Dentist | 8170 Old Carriage Ct Ste 150, Shakopee, MN 55379-3163 | 2007-05-02 |
| 1225150881 | Cities Dentistry, Pa | Dentist | 235 1st Ave E, Shakopee, MN 55379-1440 | 2007-04-04 |
| 1497843189 | John Eugene Elvecrog | Dentist | 8170 Old Carriage Ct, Suite 150, Shakopee, MN 55379-3163 | 2006-10-10 |
| 1780787473 | James J O'brien | Dentist | 1221 4th Ave E, Sutie 180, Shakopee, MN 55379-1681 | 2006-09-07 |
| 1225048663 | Michael William England | Dentist | 8074 Old Carriage Ct, Shakopee, MN 55379-3156 | 2006-08-08 |
| 1659332252 | Alan Charles Perry | Dentist | 415 1st Ave E, Shakopee, MN 55379-1439 | 2006-03-31 |
| 1093705600 | James Wallace Arhart | Dentist | 205 Lewis St S, Shakopee, MN 55379-1459 | 2005-10-25 |
| Find all providers in SHAKOPEE | ||||
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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.