ANNANDALE DENTAL CLINIC PC (NPI# 1083917363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083917363 |
| Entity Type | Organization |
| Organization Name | ANNANDALE DENTAL CLINIC PC |
| Practice Address |
93 Oak Ave S Unit #3 Annandale MN 55302-1205 |
| Mailing Address |
Po Box 539 Annandale MN 55302-0539 |
| Practice Telephone | 3202742475 |
| Practice Fax Number | 3202743152 |
| Mailing Telephone | 3202742475 |
| Mailing Fax Number | 3202743152 |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |
| Authorized Official Name | DR. ANTHONY DAVID HEGGE (OWNER/PRESIDENT) |
| Authorized Official Telephone | 3202742475 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D11795 | MN | Ambulatory Health Care Facilities |
| Street Address |
93 OAK AVE S UNIT #3 |
| City | ANNANDALE |
| State | MN |
| Zip Code | 55302-1205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780713149 | Anthony David Hegge | Dentist | 93 Oak Ave S, Suite #3, Annandale, MN 55302-1205 | 2007-03-03 |
| 1073808788 | Twin Lakes Chiropractic LLC | Chiropractor | 93 Oak Ave S, Suite 2, Annandale, MN 55302-1205 | 2011-06-10 |
| 1265747455 | Craig Steven Johnson | Chiropractor | 93 Oak Ave S, Suite 2, Annandale, MN 55302-1205 | 2010-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831386275 | Central Minnesota Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 380 Annandale Blvd, Annandale, MN 55302 | 2007-10-01 |
| 1023236874 | Annandale Family and Sports Chiropractic | Chiropractor | 300 Park Street, Annandale, MN 55302 | 2007-04-24 |
| 1356409577 | Bruce Robert Karg | Dentist | 18 Oak Avenue North, Annandale, MN 55302 | 2006-12-04 |
| 1629148614 | Annandale Eye Clinic Inc | Optometrist | 500 Elm St E, Annandale, MN 55302 | 2006-11-08 |
| 1356431803 | Dawn Ramaley | Physician Assistant | 440 Elm Street, Annandale, MN 55302 | 2006-10-13 |
| 1225130487 | Community Behavioral Health Hospital-annandale | Psychiatric Hospital | 400 Annandale Blvd., Annandale, MN 55302 | 2006-09-01 |
| 1801848635 | Gwen A Stein | Psychiatry & Neurology | 400 Annandale Blvd, Annandale, MN 55302 | 2006-05-17 |
| 1487610440 | Christopher Paul Maier | Family Medicine | 440 Elm Street East, Annandale, MN 55302 | 2006-04-26 |
| 1689633653 | Jonathan Strohschein | Family Medicine | 440 Elm St. East, Annandale, MN 55302 | 2006-03-20 |
| 1720073695 | Mitchell Ralph Uecker | Chiropractor | 300 Park St E, Annandale, MN 55302 | 2005-09-15 |
| Find all providers in zip 55302 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699257535 | John A. Kush, D.m.d., LLC | Clinic/Center | 1484 Highway 31, Annandale, NJ 08801 | 2018-09-06 |
| 1669802591 | J Christopher Durr LLC | Clinic/Center | 4216 Evergreen Ln, Suite 113, Annandale, VA 22003-3243 | 2013-11-13 |
| 1326246679 | Ho and Ho D.d.s | Clinic/Center | 4330 Evergreen Ln, Suite F-1, Annandale, VA 22003-3238 | 2007-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710025 | Theresa M. Snell | Clinic/Center | 580 5th Ave Nw Ste 100, New Brighton, MN 55112-2836 | 2020-11-05 |
| 1376143248 | James M. Williams, D.d.s., P.a. | Clinic/Center | 620 Union St S, Mora, MN 55051-1818 | 2020-10-29 |
| 1235746058 | Asp Dental, PC | Clinic/Center | 17705 Hutchins Dr Ste 201, Minnetonka, MN 55345-4103 | 2020-09-25 |
| 1952918781 | Asp Dental, PC | Clinic/Center | 9800 Shelard Pkwy Ste 130, Plymouth, MN 55441-6451 | 2020-09-25 |
| 1518574532 | Stillwater Family Dental | Clinic/Center | 13481 60th St N Ste 100, Oak Park Heights, MN 55082-1089 | 2020-09-24 |
| 1093321531 | Barnett Dental Inc | Clinic/Center | 7962 Sunwood Dr Nw Ste 200, Ramsey, MN 55303-5172 | 2020-09-21 |
| 1356955868 | Todd A Brewer Dds Pllc | Clinic/Center | 603 Jefferson Ave Sw, Watertown, MN 55388 | 2020-09-02 |
| 1770195158 | Mark T. Sherman Dds Pa | Clinic/Center | 31011 Rasmussen Rd, Pequot Lakes, MN 56472-1227 | 2020-08-18 |
| 1689286015 | Lifelong Dental Care | Clinic/Center | 1525 Livingston Ave Ste B, West St Paul, MN 55118-3430 | 2020-08-18 |
| 1528678497 | Custom Smiles Dentistry, Pllc | Clinic/Center | 2258 Bunker Lake Blvd Nw, Andover, MN 55304-3900 | 2020-08-05 |
| 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.