DR. DANIEL O. ODEGAARD (NPI# 1104004993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104004993 |
| Entity Type | Individual |
| Full Name | DR. DANIEL O. ODEGAARD |
| Credential | D.D.S. |
| Practice Address |
825 Nicollet Mall Suite 1001 Minneapolis MN 55402 |
| Practice Telephone | 6123322618 |
| Mailing Telephone | 6123322618 |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D7836 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MINN MEDICAL ASSISTANCE | 495-717-200 | 01 |
| Street Address |
825 NICOLLET MALL SUITE 1001 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718892 | Dinesh K Goyal | Ophthalmology | 825 Nicollet Mall, Ste 2000, Minneapolis, MN 55402-2708 | 2005-05-24 |
| 1851836464 | Denise Brown | Nurse Practitioner | 825 Nicollet Mall, Medical Arts Building Suite 300, Minneapolis, MN 55402-2525 | 2017-01-05 |
| 1881138527 | Stefanie Marie Donnelly | Counselor | 825 Nicollet Mall, Suite 415, Minneapolis, MN 55402-2606 | 2016-12-15 |
| 1073063103 | Minnesota Dental Professionals, P.C. | Dentist | 825 Nicollet Mall, Ste 425, Minneapolis, MN 55402-2606 | 2016-10-13 |
| 1326596032 | Michael Studer | Acupuncturist | 825 Nicollet Mall, Suite 923, Minneapolis, MN 55402-2606 | 2016-09-12 |
| 1104272939 | Donald Clausen Dds Ms Pa | Dentist | 825 Nicollet Mall, Ste 825, Minneapolis, MN 55402-2606 | 2016-05-11 |
| 1841656410 | Cityscape Dental Pa | Dentist | 825 Nicollet Mall, Suite# 1921, Minneapolis, MN 55402-2606 | 2016-01-12 |
| 1629442538 | Skin Specialists | Dermatology | 825 Nicollet Mall, Suite 1002, Minneapolis, MN 55402-2614 | 2015-11-17 |
| 1790171171 | Mill City Dermatology, P.a. | Clinic/Center | 825 Nicollet Mall, Suite 1227, Minneapolis, MN 55402-2606 | 2015-04-12 |
| 1760894372 | Svetlana Simovic, M.d. | Psychiatry & Neurology | 825 Nicollet Mall, Suite # 614, Minneapolis, MN 55402-2606 | 2014-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164040457 | Colby Orthodontics LLC | Dentist | 9th St. and Nicollet Ave. Suite 531, Minneapolis, MN 55402 | 2020-07-13 |
| 1124684725 | Eric James Holthaus | Dentist | 825 Nicollet Ave #1025, Minneapolis, MN 55402 | 2019-05-20 |
| 1194216598 | Sean Templeman | Optometrist | 825 Nicollet Mall Fl 20, Minneapolis, MN 55402 | 2018-05-22 |
| 1124529417 | Danielle Marie Kasprzak | Social Worker | 825 Nicollet Mall Ste 1005, Minneapolis, MN 55402 | 2018-02-22 |
| 1275073181 | Yellow Coriander, Psc | Nurse Practitioner | 60 South 6th Street, Suite 2800, Minneapolis, MN 55402 | 2017-02-27 |
| 1780039263 | Ursula Mcguckin | Dentist | 825 Nicollet Avenue #1025, Minneapolis, MN 55402 | 2016-05-03 |
| 1265891600 | Carl Mothes | Counselor | 825 Nicollet Mall Ste 556, Minneapolis, MN 55402 | 2016-02-13 |
| 1295084309 | Cardiology Prevention, LLC | Clinic/Center | 730 Second Ave South, Suite 295, Baker Center, Minneapolis, MN 55402 | 2012-09-05 |
| 1629389341 | Michael Stephen Bevan | Podiatrist | 825 Nicollet Mall Ste 517, Minneapolis, MN 55402 | 2010-06-28 |
| 1235368226 | Anna Dickens | Nurse Practitioner | 902 2nd Ave S, Ste 400, Minneapolis, MN 55402 | 2009-07-10 |
| Find all providers in zip 55402 | ||||
| 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 |
|---|---|---|---|---|
| 1679182687 | Downtown Dental Center Pllc | Dentist | 825 Nicollet Mall Ste 1427, Minneapolis, MN 55402-2703 | 2020-07-26 |
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1124684725 | Eric James Holthaus | Dentist | 825 Nicollet Ave #1025, Minneapolis, MN 55402 | 2019-05-20 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1154828283 | Ari Michael Lederman | Dentist | 825 Nicollet Mall Ste 425, Minneapolis, MN 55402-2608 | 2018-04-05 |
| 1730604877 | Daryl Grigsby Jr. | Dentist | 515 Delaware St Se # 8-166, Minneapolis, MN 55455-0357 | 2017-08-10 |
| 1033630371 | Margaret Elizabeth Craven | Dentist | 250 2nd Ave S Ste 250, Minneapolis, MN 55401-2173 | 2017-06-27 |
| 1013330661 | Helen Oboro-onuora | Dentist | 606 24th Ave S Suite 200, Umphysicians Dental Clinic, Minneapolis, MN 55454 | 2014-01-31 |
| 1548690001 | Patrick J. Foy Dds,pa | Dentist | 606 24th Ave S Ste 806, Minneapolis, MN 55454-1438 | 2013-11-20 |
| 1659719078 | Deanna Miller | Dentist | 3428 20th Ave S, Minneapolis, MN 55407-2408 | 2013-06-07 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55402 |
Please comment or provide details below to improve the information on DR. DANIEL O. ODEGAARD.
| 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.