MINNESOTA DENTAL PROFESSIONALS, P.C. (NPI# 1225696925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225696925 |
| Entity Type | Organization |
| Organization Name | MINNESOTA DENTAL PROFESSIONALS, P.C. |
| Other Organization Name | DENTAL CARE OF BROOKLYN PARK |
| Practice Address |
5901 94th Ave N Ste 105 Brooklyn Park MN 55443-2389 |
| Practice Telephone | 7637032512 |
| Mailing Telephone | 7637170020 |
| Mailing Fax Number | 7634320821 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-08-14 |
| Authorized Official Name | JESSICA BRITT (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175405100 |
| Is Organization Subpart | Y |
| Parent Organization Name | MINNESOTA DENTAL PROFESSIONALS, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Dental Care of Brooklyn Park | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451192 | Minnesota Dental Professionals, P.C. | Dentist | 107 12th St Sw Ste 2, Forest Lake, MN 55025-1467 | 2018-09-20 |
| 1447896733 | Minnesota Dental Professionals, P.C. | Dentist | 654 Central Ave E, Saint Michael, MN 55376-9632 | 2019-11-21 |
| 1154972909 | Minnesota Dental Professionals, P.C. | Dentist | 15243 Nowthen Blvd Nw, Ramsey, MN 55303-6138 | 2019-09-24 |
| 1245881093 | Minnesota Dental Professionals, P.C. | Dentist | 11237 Foley Blvd Nw, Coon Rapids, MN 55448-3389 | 2019-09-24 |
| 1043715204 | Minnesota Dental Professionals, P.C. | Dentist | 16138 Pilot Knob Rd, Lakeville, MN 55044 | 2018-03-28 |
| 1073063103 | Minnesota Dental Professionals, P.C. | Dentist | 825 Nicollet Mall, Ste 425, Minneapolis, MN 55402-2606 | 2016-10-13 |
| Street Address |
5901 94TH AVE N STE 105 |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55443-2389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225695174 | Vang Lee | Dentist | 5901 94th Ave N Ste 105, Brooklyn Park, MN 55443-2389 | 2019-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770100521 | El-lyon LLC | Home Health | 5501 88th Crescent North, Brooklyn Park, MN 55443 | 2020-06-28 |
| 1003431628 | Mercy Tasiame Quentin | Home Health | 7310 Unity Lane North, Brooklyn Park, MN 55443 | 2020-06-09 |
| 1386279719 | Andrew Sirlley Dogbe | Nursing Care | 8505 Xerxes Ln N, Brooklyn Park, MN 55443 | 2020-03-05 |
| 1952873630 | Melkezedek Care LLC | Home Health | 8525 N Edinbrook Crossing Suite 204, Brooklyn Park, MN 55443 | 2018-12-19 |
| 1487131330 | Grand St Paul Cvs L L C | Durable Medical Equipment & Medical Supplies | 4400 Oak Grove Parkway, Brooklyn Park, MN 55443 | 2018-07-24 |
| 1063901809 | Patient Centered Home Care Services, LLC. | Registered Nurse | 4127 Sunset Ter N, Brooklyn Park, MN 55443 | 2018-05-08 |
| 1093233942 | Ginni Ali | Registered Nurse | 7527 Yates Lane North, Brooklyn Park, MN 55443 | 2017-08-30 |
| 1437676335 | Uplifted Care Services LLC | Case Management | 3301 84th Ave, Brooklyn Park, MN 55443 | 2017-08-23 |
| 1912447780 | Zillah Mulubisha | Nurse Practitioner | Brooklyn Park Clinic, 7650 Zane Ave N, Minneapolis, MN 55443 | 2017-02-27 |
| 1356898985 | Abdul Kabba | Driver | 79oo Lad Parkway, Brooklyn Park, MN 55443 | 2016-09-01 |
| Find all providers in zip 55443 | ||||
| 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 |
|---|---|---|---|---|
| 1558987164 | Joseph Horst | Dentist | 5901 94th Ave N, Brooklyn Park, MN 55443-2388 | 2020-06-19 |
| 1225695174 | Vang Lee | Dentist | 5901 94th Ave N Ste 105, Brooklyn Park, MN 55443-2389 | 2019-05-28 |
| 1194018374 | Bonaventure Chisom Nwokocha | Dentist | 7960 Brooklyn Blvd, Brooklyn Park, MN 55445-2722 | 2011-05-22 |
| 1437223435 | Dean D Heuer | Dentist | 6901 78th Ave N, Brooklyn Park, MN 55445-2720 | 2006-11-20 |
| 1811073992 | Danh Lam | Dentist | 8421 W Broadway Ave, Brooklyn Park, MN 55445-2266 | 2006-10-31 |
| 1205925500 | Zane Dental, LLC | Dentist | 7340 Zane Ave N, Brooklyn Park, MN 55443-3114 | 2006-10-12 |
| 1467420372 | Thomas W Waite Dds Pa | Dentist | 5820 74th Ave N, Brooklyn Park, MN 55443-3140 | 2006-03-08 |
| 1710358379 | Modern Dental Professionals, Mn PC | Dentist | 7532 Brooklyn Blvd, Brooklyn Park, MN 55443-3101 | 2015-10-08 |
| 1356749659 | Today's Dental | Dentist | 7960 Brooklyn Blvd, Brooklyn Park, MN 55445-2722 | 2014-12-18 |
| 1164601324 | Anupam M Gatecha | Dentist | 8511 Jefferson Ln N, Brooklyn Park, MN 55445-2121 | 2007-10-24 |
| Find all providers in BROOKLYN PARK | ||||
| City | BROOKLYN PARK |
| Zip Code | 55443 |
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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.