FOUR SEASONS DENTAL PA


Address: 4205 Lancaster Ln N Ste 101, Plymouth, MN 55441-1702
Phone: 7635592976

FOUR SEASONS DENTAL PA (NPI# 1194215616) 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) 1194215616
Entity Type Organization
Organization Name FOUR SEASONS DENTAL PA
Other Organization Name FOUR SEASONS DENTAL PA
Practice Address 4205 Lancaster Ln N Ste 101
Plymouth
MN 55441-1702
Mailing Address 109 Bushaway Rd Ste 300
Wayzata
MN 55391-2079
Practice Telephone 7635592976
Practice Fax Number 7635594852
Mailing Telephone 9524750225
Enumeration Date 2018-05-10
Last Update Date 2018-05-10
Authorized Official Name KERSTEN HOFFMAN (CLINIC ADMINISTRATOR)
Authorized Official Telephone 9524750225
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Four Seasons Dental PA Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1619072261 Four Seasons Dental Pa Dentist 510 Se 1st St, Mineral Wells, TX 76067 2006-09-14

Office Location

Street Address 4205 LANCASTER LN N STE 101
City PLYMOUTH
State MN
Zip Code 55441-1702

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689190019 The Recovery Clinic LLC Clinic/Center 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 2017-08-17
1356887186 Katherine Marlow Bell Dentist 2805 Campus Dr Ste 245, Plymouth, MN 55441 2017-01-18
1083069538 Mercade Waldon Home Health Aide 3501 Xenium Lane, Plymouth, MN 55441 2016-05-03
1346645538 Phs Westhealth, Inc Skilled Nursing Facility 2775 Campus Drive North, Plymouth, MN 55441 2014-10-30
1427453125 Samuel David Fine Pharmacist 4070 Goldenrod Ln, Plymouth, MN 55441 2014-10-24
1548672538 Scott Aaron Schmidt Dentist 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 2014-05-23
1831498633 Comforide Transportation Services LLC Non-emergency Medical Transport (VAN) 9730 37th Pl N Suite 201, Plymouth, MN 55441 2011-03-18
1255669271 Tammy Kae Mehlhaus Physician Assistant 2855 Campus Drive, Suite 570, Plymouth, MN 55441 2009-12-02
1164758199 Stephen P. Boger, Dds, Pa Dentist 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 2009-10-27
1093908360 Endodontic Professionals Pa Plymouth Endodontics Dentist 3401 Hwy 169 N, Plymouth, MN 55441 2007-08-21
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952918781 Asp Dental, PC Clinic/Center 9800 Shelard Pkwy Ste 130, Plymouth, MN 55441-6451 2020-09-25
1326670886 Plymouth Ardent Clinic/Center 40400 Ann Arbor Rd E Ste 103, Plymouth, MI 48170-4590 2020-02-12
1427695063 Beacon Dental Health PC Clinic/Center 1 Scobee Cir # 2a, Plymouth, MA 02360-4887 2019-12-03
1952965949 Minnesota Sleep and Wellness LLC Clinic/Center 15600 36th Ave N Ste 270a, Plymouth, MN 55446-3369 2019-04-25
1134611122 Chad W. Barber, Dds, PC Clinic/Center 9331 N Lilley Rd, Plymouth, MI 48170-4609 2018-06-05
1396258752 Advanced Dental Care Clinic Sc Clinic/Center 62 S Pleasant View Road, Plymouth, WI 53073 2017-11-08
1053834481 Mondale Dental Clinic/Center 10600 Old County Road 15 Ste 120, Plymouth, MN 55441-6205 2017-07-18
1902060213 Thomas F. Rogers, D.d.s., P.C. Clinic/Center 141 Court St, Plymouth, MA 02360-3807 2008-07-16
1093939712 Frank Gatyas,d.d.s.,s.c. Clinic/Center 623 E Mill St, Plymouth, WI 53073-1944 2007-04-12
1528674157 Beacon Dental Health PC Clinic/Center 3 Market Xing, Plymouth, MA 02360-7841 2020-09-18
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Competitor

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City PLYMOUTH
Zip Code 55441

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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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