FIRST AVENUE DENTAL, PA (NPI# 1205997152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205997152 |
| Entity Type | Organization |
| Organization Name | FIRST AVENUE DENTAL, PA |
| Practice Address |
74 1st Ave Se Little Falls MN 56345-3042 |
| Practice Telephone | 3206328113 |
| Practice Fax Number | 3206325584 |
| Mailing Telephone | 3206328113 |
| Mailing Fax Number | 3206325584 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SUZETTE A OLSON (DENTIST) |
| Authorized Official Telephone | 3206328113 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11599 | MN | Dental Providers |
| Street Address |
74 1ST AVE SE |
| City | LITTLE FALLS |
| State | MN |
| Zip Code | 56345-3042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740396571 | Suzette A Olson | Dentist | 74 1st Ave Se, Little Falls, MN 56345-3042 | 2006-08-22 |
| 1528624657 | Heather R Holt | Dentist | 74 1st Ave Se, Little Falls, MN 56345-3042 | 2019-05-14 |
| 1780791384 | Melvin H Bauer | Dentist | 74 1st Ave Se, Little Falls, MN 56345-3042 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255823910 | Apple Tree Dental | Dentist | 808 3rd St Se Ste 330, Little Falls, MN 56345 | 2018-05-30 |
| 1326548454 | Julie Bonham | Dental Therapist | 803 3rd St. Se, Suite 330, Little Falls, MN 56345 | 2018-02-15 |
| 1386079846 | Paul Carpenter | Physical Therapist | 104 2nd St Se, Little Falls, MN 56345 | 2013-09-03 |
| 1114282670 | Annalee Michelle Vandenheuvel | Social Worker | 1905 5th Ave Se, Little Falls, MN 56345 | 2012-07-11 |
| 1962761601 | Heather Van Stone | Audiologist | 109 5th St Ne Ste 2, Little Falls, MN 56345 | 2012-05-15 |
| 1003055989 | Brett Wayne Speer | Chiropractor | 114 1st Street Ne, Little Falls, MN 56345 | 2009-02-17 |
| 1104007988 | Sharon Anne Bell | Physical Therapist | 309 First St. Ne, Suite 101, Little Falls, MN 56345 | 2007-11-20 |
| 1215072996 | Robert Willhite | Pharmacist | 101 1st St Ne, Little Falls, MN 56345 | 2007-02-21 |
| 1568526275 | Jeffrey Hoffman | Physical Therapist | 815 Se 2nd Street, Unity Family Healthcare, Little Falls, MN 56345 | 2006-12-20 |
| 1700978020 | Jennifer Mary Hagen | Pharmacist | 101 1st St Se, Little Falls, MN 56345 | 2006-09-28 |
| Find all providers in zip 56345 | ||||
| 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 |
|---|---|---|---|---|
| 1255823910 | Apple Tree Dental | Dentist | 808 3rd St Se Ste 330, Little Falls, MN 56345 | 2018-05-30 |
| 1124358999 | Mohan Enjati | Dentist | 1540 Us Highway 46, Little Falls, NJ 07424-1852 | 2009-12-30 |
| 1649427204 | Pasquale Buzzelli | Dentist | 1 Cedar Grove Rd, Little Falls, NJ 07424-1701 | 2008-08-25 |
| 1023130846 | Joseph P Steencken | Dentist | 29 N Ann Street, Little Falls, NY 13365 | 2007-04-04 |
| 1639225360 | David Harold Reidenberg | Dentist | 150 Clove Rd, Little Falls, NJ 07424-2138 | 2007-01-26 |
| 1316019730 | Monila Reheman | Dentist | 81 Newark Pompton Tpke, Little Falls, NJ 07424-1107 | 2006-11-14 |
| 1740396571 | Suzette A Olson | Dentist | 74 1st Ave Se, Little Falls, MN 56345-3042 | 2006-08-22 |
| 1528624657 | Heather R Holt | Dentist | 74 1st Ave Se, Little Falls, MN 56345-3042 | 2019-05-14 |
| 1205296555 | Remi Lerch | Dentist | 1540 Us Highway 46, Little Falls, NJ 07424-1852 | 2016-02-29 |
| 1114330057 | Rhonda Gloria Nygaard | Dentist | 119 1st St Ne, Little Falls, MN 56345-1467 | 2014-06-09 |
| Find all providers in LITTLE FALLS | ||||
| City | LITTLE FALLS |
| Zip Code | 56345 |
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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.