FAMILY & COSMETIC GENTLE DENTISTRY, LTD (NPI# 1093997546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093997546 |
| Entity Type | Organization |
| Organization Name | FAMILY & COSMETIC GENTLE DENTISTRY, LTD |
| Practice Address |
1340 Duckwood Dr Eagan MN 55123-2324 |
| Mailing Address |
6600 France Ave S Ste 415 Edina MN 55435-1817 |
| Practice Telephone | 6512099999 |
| Practice Fax Number | 6512090396 |
| Mailing Telephone | 9522249771 |
| Mailing Fax Number | 9522249790 |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2008-06-20 |
| Authorized Official Name | DIANA GAVIC (OPERATIONS MANAGER) |
| Authorized Official Telephone | 9522249771 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAMILY & COSMETIC GENTLE DENTISTRY, LTD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 625193500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235429267 | Family & Cosmetic Gentle Dentistry, Ltd | Dentist | 1714 Cope Ave E, Maplewood, MN 55109-2664 | 2011-04-11 |
| 1750563227 | Family & Cosmetic Gentle Dentistry, Ltd | Dentist | 13550 26th Ave N Ste 200, Plymouth, MN 55441-3650 | 2007-11-27 |
| 1477112456 | Family & Cosmetic Gentle Dentistry, Ltd | Dentist | 2147 Northdale Blvd Nw, Coon Rapids, MN 55433 | 2019-06-12 |
| 1306028279 | Family & Cosmetic Gentle Dentistry, Ltd | Dentist | 1060 Highway 15 S, #84, Hutchinson, MN 55350-3157 | 2007-12-03 |
| 1548442411 | Family & Cosmetic Gentle Dentistry, Ltd | Dentist | 8711 E Point Douglas Rd S, Cottage Grove, MN 55016-5000 | 2007-12-03 |
| 1982886859 | Family & Cosmetic Gentle Dentistry, Ltd | Dentist | 97 85th Ave Nw, Coon Rapids, MN 55433-6022 | 2007-12-03 |
| 1942482815 | Family & Cosmetic Gentle Dentistry, Ltd | Dentist | 3015 Highway 29 S, I1, Alexandria, MN 56308-3486 | 2007-12-03 |
| 1013199561 | Family & Cosmetic Gentle Dentistry, Ltd | Dentist | 1680 Suburban Ave, Saint Paul, MN 55106-6632 | 2007-11-27 |
| 1275715732 | Family & Cosmetic Gentle Dentistry, Ltd | Dentist | 5001 Winnetka Ave N, New Hope, MN 55428-4230 | 2007-11-27 |
| 1295917755 | Family & Cosmetic Gentle Dentistry, Ltd | Dentist | 5401 Chicago Ave, Minneapolis, MN 55417-2443 | 2007-11-27 |
| Street Address |
1340 DUCKWOOD DR |
| City | EAGAN |
| State | MN |
| Zip Code | 55123-2324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427146372 | Matthew William Grange | Optometrist | 1340 Duckwood Dr, Suite 14, Eagan, MN 55123-2324 | 2006-10-10 |
| 1871932236 | Casey Alan Chantelois | Dentist | 1340 Duckwood Dr, Eagan, MN 55123-2324 | 2013-06-19 |
| 1679872972 | Michael James Harrison | Dentist | 1340 Duckwood Dr, Eagan, MN 55123-2324 | 2011-03-25 |
| 1831243179 | Russell N Osnes Od & Associates Pa | Optometrist | 1340 Duckwood Dr, Suite 14, Eagan, MN 55123-2324 | 2007-01-23 |
| 1275622482 | Robert Wilbert Hegerman Jr. | Optometrist | 1340 Duckwood Dr, Suite 14, Eagan, MN 55123-2324 | 2006-10-12 |
| 1720177108 | Denise Renee Kniefel | Optometrist | 1340 Duckwood Dr, Suite 14, Eagan, MN 55123-2324 | 2006-10-12 |
| 1043309495 | Steven Jay Lusch | Optometrist | 1340 Duckwood Dr, Suite 14, Eagan, MN 55123-2324 | 2006-10-12 |
| 1982792867 | Russell Nathaniel Osnes | Optometrist | 1340 Duckwood Dr, Suite 14, Eagan, MN 55123-2324 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053828467 | Hilltop Family Chiropractic Center Pa | Chiropractor | 1121 Town Centre Drive Suite 202, Eagan, MN 55123 | 2018-01-08 |
| 1922452507 | Jacob Zimmerman | Counselor | 3450 O'leary Ln., Eagan, MN 55123 | 2016-04-20 |
| 1316320971 | K-squared Fitness, L.L.C. | Public Health or Welfare | 1100 Cliff Rd, Eagan, MN 55123 | 2015-07-01 |
| 1346683687 | Joshua M Dorn | Allergy & Immunology | 3460 Promenade Ave, Eagan, MN 55123 | 2013-04-16 |
| 1700172350 | Mary Christine Mcnabney | Nurse Practitioner | 610 Opperman Drive, D4 Health Center, Your Wellbeing Health Center, Eagan, MN 55123 | 2011-06-22 |
| 1033353669 | Todd Borstad | Social Worker | 3450 O'leary Lane, Eagan, MN 55123 | 2009-04-27 |
| 1821025271 | Mngi Endoscopy LLC | Clinic/Center | 1185 Town Centre Drive, Eagan, MN 55123 | 2006-06-28 |
| 1780620120 | Cindy Eileen Wood | Audiologist | 3440 Oleary Lane, 240, Eagan, MN 55123 | 2006-06-22 |
| 1609845742 | Jeffery R Dichter | Internal Medicine | 849 Govern Circle, Saint Paul, MN 55123 | 2006-03-14 |
| 1891269155 | Elise Broderick Quam | Social Worker | 3450 Oleary Ln, Eagan, MN 55123 | 2019-01-18 |
| Find all providers in zip 55123 | ||||
| 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 |
|---|---|---|---|---|
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1730734708 | Ideal Dental Pllc | Dentist | 2130 Cliff Rd Ste 107, Eagan, MN 55122-2486 | 2019-08-07 |
| 1760972749 | Nicholas Theodore Schulte | Dentist | 1960 Cliff Lake Rd Ste 127, Eagan, MN 55122-2439 | 2018-05-15 |
| 1710357520 | Modern Dental Professionals, Mn PC | Dentist | 1625 Lena Ct, Suite 100, Eagan, MN 55122-2959 | 2015-10-06 |
| 1184093551 | Eagan Smiles Dentistry, PC | Dentist | 3405 Promenade Ave, Suite 300, Eagan, MN 55123-4404 | 2015-09-16 |
| 1225265309 | Molly Anne Henry | Dentist | 1965 Cliff Lake Rd, Suite #102, Eagan, MN 55122-2590 | 2009-06-16 |
| 1144353780 | Eagan Family Dentistry | Dentist | 4178 Knob Dr Ste C, Eagan, MN 55122-1875 | 2007-03-13 |
| 1871632026 | Karrie Marie Glasgow | Dentist | 1260 Yankee Doodle Rd, Suite 102, Eagan, MN 55121-2201 | 2007-02-05 |
| 1528127917 | Mark Joseph Skala | Dentist | 1905 Plaza Dr, Eagan, MN 55122-2883 | 2006-12-08 |
| 1841368545 | Dr Gerald W Rauchwarter Dds LLC | Dentist | 1960 Cliff Lake Road, #127, Eagan, MN 55122 | 2006-12-01 |
| Find all providers in EAGAN | ||||
Please comment or provide details below to improve the information on FAMILY & COSMETIC GENTLE DENTISTRY, LTD.
| 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.