DR. THOMAS RICHARD SWENSON-BELLSON (NPI# 1164536231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164536231 |
| Entity Type | Individual |
| Full Name | DR. THOMAS RICHARD SWENSON-BELLSON |
| Credential | DDS |
| Practice Address |
13841 Round Lake Blvd Nw Andover MN 55304-3664 |
| Practice Telephone | 7634270285 |
| Practice Fax Number | 7635760156 |
| Mailing Telephone | 7634270285 |
| Mailing Fax Number | 7635760156 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223G0001X |
Dentist Specialization: General Practice |
D10339 | MN | Dental Providers |
| X | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D10339 | MN | Dental Providers |
| Street Address |
13841 ROUND LAKE BLVD NW |
| City | ANDOVER |
| State | MN |
| Zip Code | 55304-3664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730655242 | Round Lake Family Dentistry, Pllc | Clinic/Center | 13841 Round Lake Blvd Nw, Andover, MN 55304-3664 | 2018-10-23 |
| 1376676445 | Round Lake Dental P.a. | Dentist | 13841 Round Lake Blvd Nw, Andover, MN 55304-3664 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114402211 | Sarah Sue Anderson | Speech-Language Pathologist | 1891 Station Pkwy, Andover, MN 55304 | 2018-09-25 |
| 1306354329 | Jennifer Lynn Larkey I | Counselor | 1875 Station Parkway N.w. Andover, Mn 55304, Andover, MN 55304 | 2018-01-11 |
| 1124544895 | Msp Dentistry Inc | Preferred Provider Organization | 13650 Hanson Blvd., Suite #110, Andover, MN 55304 | 2017-08-15 |
| 1912427931 | Brooke Nicole Halliday | Counselor | 1875 Station Pkwy Ne, Andover, MN 55304 | 2017-06-21 |
| 1700286903 | Jari Welle, Inc. | Marriage & Family Therapist | 1328 Mckay Drive Ne, Suite 100, Ham Lake, MN 55304 | 2014-08-26 |
| 1356765192 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1889 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
| 1326462177 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1899 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
| 1740619568 | Delores Weikle | Physical Therapist | 14531 Jay St, Andover, MN 55304 | 2013-11-02 |
| 1730527003 | Darkou Care Services | Home Health | 14297 Zilla Street Nw, Andover, MN 55304 | 2013-06-10 |
| 1770927758 | Arbor Oaks Senior Living | Assisted Living Facility | 1640 155th Lane Nw, Andover, MN 55304 | 2013-04-22 |
| Find all providers in zip 55304 | ||||
| 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 |
|---|---|---|---|---|
| 1417581323 | Elaine Wu | Dentist | 12 Whittemore Ter, Andover, MA 01810-1442 | 2020-02-29 |
| 1528413937 | Simran Grover | Dentist | 7 Farnham Cir, Andover, MA 01810-2865 | 2016-05-04 |
| 1841638384 | Holly Hill | Dentist | 3480 Bunker Lake Blvd Nw Ste 202, Andover, MN 55304-2086 | 2013-06-06 |
| 1467601559 | Melvyn Alfred Moskowitz | Dentist | 7 Lenape Rd, Andover, NJ 07821-4570 | 2008-09-12 |
| 1508908914 | Lois Ann Lombardo | Dentist | 68 Park St Rear, Andover, MA 01810-3693 | 2007-02-13 |
| 1629135595 | John Edward Ewert | Dentist | 1573 154th Ave Nw, Suite 107, Andover, MN 55304-2696 | 2007-01-02 |
| 1659449841 | James F Reynolds | Dentist | 15 Central Street, Andover, MA 01810 | 2006-12-04 |
| 1023181112 | Ethan R Chute | Dentist | 3480 Bunker Lake Blvd Nw, Andover, MN 55304-2085 | 2006-11-16 |
| 1316036205 | Edward J. Pollander | Dentist | 6258 East Main St, Andover, OH 44003 | 2006-10-11 |
| 1295848984 | Dentistry By Design, P.C. | Dentist | 19 Barnard St, Andover, MA 01810-3601 | 2006-08-16 |
| Find all providers in ANDOVER | ||||
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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.