SEDATION & IMPLANT DENTISTRY (NPI# 1073787669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073787669 |
Entity Type | Organization |
Organization Name | SEDATION & IMPLANT DENTISTRY |
Practice Address |
1815 Suburban Ave Saint Paul MN 55119-4302 |
Practice Telephone | 6517354661 |
Practice Fax Number | 6517351910 |
Mailing Telephone | 6517354661 |
Mailing Fax Number | 6517351910 |
Enumeration Date | 2008-04-15 |
Last Update Date | 2008-04-15 |
Authorized Official Name | KARL ANDREW ANDRESON (OWNER) |
Authorized Official Telephone | 6517354661 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223G0001X |
Dentist Specialization: General Practice |
D7091 | MN | Dental Providers |
N | 1223G0001X |
Dentist Specialization: General Practice |
D9766 | MN | Dental Providers |
N | 1223P0300X |
Dentist Specialization: Periodontics |
D12228 | MN | Dental Providers |
Y | 1223P0300X |
Dentist Specialization: Periodontics |
D9208 | MN | Dental Providers |
Street Address |
1815 SUBURBAN AVE |
City | SAINT PAUL |
State | MN |
Zip Code | 55119-4302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174686570 | Michael L. Dixon | Chiropractor | 1815 Suburban Ave, Saint Paul, MN 55119-4302 | 2006-12-18 |
1285161661 | Karl John Petersen | Dentist | 1815 Suburban Ave, Saint Paul, MN 55119-4302 | 2017-05-17 |
1811445109 | Compassion Home Health Care LLC | Home Health | 1815 Suburban Ave, Saint Paul, MN 55119-4302 | 2016-09-14 |
1194021543 | Amy Hamlin | Chiropractor | 1815 Suburban Ave, Saint Paul, MN 55119-4302 | 2011-02-02 |
1205145273 | Ihs of Woodbury, P.a. | Chiropractor | 1815 Suburban Ave, Saint Paul, MN 55119-4302 | 2010-09-24 |
1609106582 | Healthsource of St Paul | Chiropractor | 1815 Suburban Ave, Saint Paul, MN 55119-4302 | 2009-12-28 |
1477738367 | Michael Dixon Chiropractic, Pa | Chiropractor | 1815 Suburban Ave, Saint Paul, MN 55119-4302 | 2008-01-09 |
1063579019 | Barry C Hoyland | Dentist | 1815 Suburban Ave, Saint Paul, MN 55119-4302 | 2007-01-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811520307 | Restorative Healing & Counseling, LLC | Social Worker | 385 Londin Place, St. Paul, MN 55119 | 2020-02-13 |
1891282059 | Tyller Robert | Specialist/Technologist | 2594 Montana Ave E, Maplewood, MN 55119 | 2018-04-13 |
1477081032 | Katarzyna Zelichowski | Dentist | 1790 7th St. E, St.paul, MN 55119 | 2017-05-26 |
1952769333 | Rufus Zarzar | Non-emergency Medical Transport (VAN) | 230 Kipling St S # C6, St Paul, MN 55119 | 2016-02-01 |
1144611427 | Eric Michael Weisnicht | Chiropractor | 165 Mcknight Road N, Apt 105, Saint Paul, MN 55119 | 2015-02-09 |
1295147981 | Lauri Elizabeth Goetz | Licensed Practical Nurse | 2092 Case Ave E, Saint Paul, MN 55119 | 2014-05-29 |
1205111770 | Rem Ramsey, Inc. | Intermediate Care Facility, Mentally Retarded | 975 Lakewood Drive, Maplewood, MN 55119 | 2011-10-17 |
1528391976 | Kc Healthcare Services | Home Health | 295 Mcnight Road South, St Paul, MN 55119 | 2009-09-16 |
1073759510 | Life Fountain Home Health Care Inc | Home Health | 1380 Currie St N, Maplewood, MN 55119 | 2009-01-06 |
1295858991 | Dental Delivery Systems St Paul, Pa | Dentist | 1790 7th Street E., St. Paul, MN 55119 | 2007-04-09 |
Find all providers in zip 55119 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386901858 | Jeanne L Barss | Dentist | 2550 University Ave W Ste 189s, Saint Paul, MN 55114-2001 | 2012-04-20 |
1720099849 | Robert L Jensen | Dentist | 2480 White Bear Ave N Ste 201, Saint Paul, MN 55109-4567 | 2006-08-11 |
1891018842 | Hema V Menon | Dentist | 393 Dunlap St N, Central Medical Building, Suite #100, Saint Paul, MN 55104-4200 | 2010-03-04 |
1336370444 | Robert D Rupprecht | Dentist | 2500 Como Ave, Saint Paul, MN 55108-1460 | 2009-08-06 |
1487720983 | Frank J Raab II | Dentist | 2500 Como Ave, Saint Paul, MN 55108-1460 | 2006-11-27 |
1598865750 | Daniel Skaar | Dentist | 1630 University Ave W, Saint Paul, MN 55104-3887 | 2006-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316400591 | Shorouk Elnagdy | Dentist | 515 Delaware St Se # 7-368, Minneapolis, MN 55455-0357 | 2019-04-13 |
1508300252 | Minnesota Periodontal Associates, Pa | Dentist | 4801 Hwy 61 N., Suite 300, White Bear Lake, MN 55110-2753 | 2016-12-15 |
1164978672 | Benjamin Halpern | Dentist | 14344 Burnhaven Drive, Burnsville, MN 55306 | 2016-08-26 |
1356684419 | Shahir Nehad Abdel-malek | Dentist | 3555 Louisiana Ave S, Saint Louis Park, MN 55426-4121 | 2013-03-27 |
1205129012 | Jerod Thomas Klava | Dentist | 6545 France Ave. So., Suite 190, Edina, MN 55435 | 2011-05-26 |
1861784050 | Elham Akhlaghi | Dentist | 515 Delaware Street, Minneapolis, MN 55455 | 2011-05-06 |
1013216811 | Minneapolis-st. Paul Periodontics | Dentist | 1109 East Moore Lake Drive, Fridley, MN 55432 | 2011-03-18 |
1558516369 | Mdo Periodontics Pa | Dentist | 1900 Kruchten Ct S, Ste. 101, Sartell, MN 56377-4730 | 2008-11-20 |
1972770006 | Ying-lien Wu | Dentist | 150 S 5th St Ste 1475, Minneapolis, MN 55402-4212 | 2008-05-08 |
1760657795 | Steven Robert Jacobsen | Dentist | 4801 Hwy 61, #300, White Bear Lake, MN 55110 | 2008-04-30 |
Find all providers with the same taxonomy |
City | SAINT PAUL |
Zip Code | 55119 |
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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.