PREETANJALI THAKUR


Address: 2550 University Avenue West Suite 189s, St Paul, MN 55114
Phone: 6513327474

PREETANJALI THAKUR (NPI# 1184023772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184023772
Entity Type Individual
Full Name PREETANJALI THAKUR
Credential BDS
Practice Address 2550 University Avenue West Suite 189s
St Paul
MN 55114
Practice Telephone 6513327474
Practice Fax Number 6513327475
Mailing Telephone 6513327474
Mailing Fax Number 6513327475
Enumeration Date 2014-08-19
Last Update Date 2018-03-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist S127 MN Dental Providers
N 122300000X Dentist R607 MN Dental Providers
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
S127 MN Dental Providers

Office Location

Street Address 2550 UNIVERSITY AVENUE WEST SUITE 189S
City ST PAUL
State MN
Zip Code 55114

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790205698 Der Yang Registered Nurse 2356 University Ave W #220, Saint Paul, MN 55114 2017-06-21
1679949358 Mallory Haglund Counselor 284 West Rocky Lane, Boulder, NV 55114 2015-08-17
1083090880 Kayla Estenson Marriage & Family Therapist 2324 University Ave West, 120, St. Paul, MN 55114 2015-08-04
1023426210 Melanie Bayer Witthoft Social Worker 762 Transfer Road, 21, St. Paul, MN 55114 2014-07-31
1184046518 Britni Kelley Marriage & Family Therapist 821 Raymond Ave Ste 325, Saint Paul, MN 55114 2014-01-21
1205257581 Arti Kaul Dentist 808 Berry St, Apy 126, St Paul, MN 55114 2014-01-03
1588907109 Jesus M Calvillo Counselor 821 Raymond Ave Ste 230, Saint Paul, MN 55114 2013-04-02
1154669414 Caringhands Home Health Care Inc. Home Health 2233 University Ave West, Suite 330, St Paul, MN 55114 2013-01-22
1396021424 The Avalon Charter School Local Education Agency (LEA) 700 Glendale Street, Saint Paul, MN 55114 2011-11-03
1710263710 University Adult Day Care Center Inc Clinic/Center 2434 University Ave W, Saint Paul, MN 55114 2011-10-23
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194791384 Robert W. Glineburg, D.d.s., M.s., P.a. Dentist 1630 University Avenue West, Suite 104, St Paul, MN 55104-3888 2006-02-27
1841398914 Asif Rahman Dentist 2500 Como Ave, St Paul, MN 55108 2006-09-20
1134225469 Matthew J Roszkowski Dentist 2500 Como Ave, St Paul, MN 55108 2006-09-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982213237 Yue Hu Dentist 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 2020-07-23
1285294611 Brian Michael Laing Dentist 7-147 Moos Health Science Tower, 515 Delaware Street S.e., Minneapolis, MN 55455-0357 2019-06-18
1295218303 Advanced Oral Surgery Dentist 19925 Idealic Ave, Lakeville, MN 55044-2003 2018-09-13
1205366002 Derek Miller Dentist 7-174 Moos Tower 515 Delaware St. S, U of M Oral Surgery, Minneapolis, MN 55455 2017-06-14
1497113674 West Lakes Dentistry, Pa Dentist 5205 Shoreline Dr, Mound, MN 55364-1770 2016-02-03
1003203498 Tyler John Varhol Dentist 550 County Road D W Ste 12, New Brighton, MN 55112-3517 2015-04-23
1225458391 Levi Zarbano Dentist 2550 University Ave W Ste 115n, Saint Paul, MN 55114-1097 2014-04-16
1154760932 John Salek-raham Dentist 700 Village Center Dr., Ste 170, North Oaks, MN 55127-3025 2013-06-14
1649511585 Kristopher Lee Hasstedt Dentist Dentists of Woodbury, 7150 Valley Creek Plaza Ste #230, Woodbury, MN 55125 2013-03-01
1396095048 Dental Specialists of Minnesota, Pllc Dentist 3360 Northdale Blvd., Coon Rapids, MN 55448-1825 2012-09-10
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Competitor

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City ST PAUL
Zip Code 55114

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Dataset Information

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.

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