MYNT DENTAL RACINE LLC (NPI# 1235628454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235628454 |
| Entity Type | Organization |
| Organization Name | MYNT DENTAL RACINE LLC |
| Practice Address |
6100 Washington Ave Mount Pleasant WI 53406-4000 |
| Mailing Address |
2731 Mannheim Rd Franklin Park IL 60131-2219 |
| Practice Telephone | 2629999998 |
| Mailing Telephone | 6303818281 |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-10-08 |
| Authorized Official Name | DR. SASAN MOLAVI (PRESIDENT / OWNER) |
| Authorized Official Telephone | 6303818281 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
6100 WASHINGTON AVE |
| City | MOUNT PLEASANT |
| State | WI |
| Zip Code | 53406-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306408679 | Daniel Ramirez Dmd Pllc | Dentist | 6100 Washington Ave, Mount Pleasant, WI 53406-4000 | 2019-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| 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 |
|---|---|---|---|---|
| 1851906028 | Carolina Park Family Dentistry LLC | Dentist | 3520 Park Avenue Blvd., Suite 100, Mount Pleasant, SC 29466-2946 | 2020-09-14 |
| 1801351242 | Dan P Mccauley Dds Pa | Dentist | 1603 North Jefferson Avenue, Mount Pleasant, TX 75455 | 2019-02-08 |
| 1760956619 | Madison Culler, D.m.d., P.a. | Dentist | 211 Simmons Street, Mount Pleasant, SC 29412 | 2019-01-14 |
| 1457824054 | Bella Smiles-mt. Pleasant Pllc | Dentist | 1401 S Jefferson Ave Ste 4, Mount Pleasant, TX 75455-5647 | 2019-01-07 |
| 1043661614 | Matthew Benjamin Wettach | Dentist | 501 S White St Ste 28, Mount Pleasant, IA 52641-2600 | 2016-06-24 |
| 1033404124 | David Allan Bodie | Dentist | 929 Bowman Rd Ste 100, Mount Pleasant, SC 29464-3237 | 2011-06-16 |
| 1508016825 | Jason Ervin Prescott | Dentist | 1051 Johnnie Dodds Blvd Ste A, Mount Pleasant, SC 29464-3100 | 2008-09-23 |
| 1871760298 | Virginia L Gregory | Dentist | 434 W Coleman Blvd, Mount Pleasant, SC 29464-3437 | 2008-05-14 |
| 1679773899 | Coastal Family Dentistry | Dentist | 3098 Highway 17 N, Mount Pleasant, SC 29466-9315 | 2007-07-25 |
| 1215155817 | Mary Bell Maltezos | Dentist | 3070 N Highway 17 Ste 101, Mount Pleasant, SC 29466-9300 | 2007-04-22 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 53406 |
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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.