MINNESOTA DENTAL PROFESSIONALS, P.C. (NPI# 1245881093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245881093 |
| Entity Type | Organization |
| Organization Name | MINNESOTA DENTAL PROFESSIONALS, P.C. |
| Practice Address |
11237 Foley Blvd Nw Coon Rapids MN 55448-3389 |
| Practice Telephone | 7637571234 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |
| Authorized Official Name | TABATHA LEMKE (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175406078 |
| 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 |
|---|---|
| Foley Dental Office | 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 |
| 1225696925 | Minnesota Dental Professionals, P.C. | Dentist | 5901 94th Ave N Ste 105, Brooklyn Park, MN 55443-2389 | 2019-05-29 |
| 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 |
11237 FOLEY BLVD NW |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55448-3389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154311181 | David M Phillips | Dentist | 11237 Foley Blvd Nw, Coon Rapids, MN 55448-3389 | 2005-10-21 |
| 1740578533 | Dan Le Hoang | Dentist | 11237 Foley Blvd Nw, Coon Rapids, MN 55448-3389 | 2011-07-14 |
| 1760655765 | Thomas Warren Anderson | Dentist | 11237 Foley Blvd Nw, Coon Rapids, MN 55448-3389 | 2008-04-10 |
| 1932399557 | Roger E Austin, Dds, Pa | Dentist | 11237 Foley Blvd Nw, Coon Rapids, MN 55448-3389 | 2007-07-30 |
| 1922171917 | Richard Battaglia | Dentist | 11237 Foley Blvd Nw, Coon Rapids, MN 55448-3389 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447741152 | Modern Sisters Home Healthcare | Home Health | 1852 131st Ln Nw, Coon Rapids, MN 55448 | 2018-05-29 |
| 1003345463 | Sarah Benepe | Occupational Therapy Assistant | 764 107th Ln Nw, Coon Rapids, MN 55448 | 2017-06-08 |
| 1700310299 | Orthodontics Specialist of Minnesota P.l.l.c. | Dentist | 3360 Northdale Blvd Nw, Coon Rapids, MN 55448 | 2017-04-12 |
| 1528459906 | Shane R Fisher | Registered Nurse | 10077 Dogwood St. Nw, Suite 110, Minneapolis, MN 55448 | 2015-02-06 |
| 1912395419 | Mn Dentistry, PC | Dentist | 3570 River Rapids Drive Nw, Ste 110, Coor Rapids, MN 55448 | 2015-01-06 |
| 1215297536 | Daniel Beau Ryan Ellis | Chiropractor | 9 125 Lane Nw, Coon Rapids, MN 55448 | 2012-05-21 |
| 1306142344 | At Home Health Care Inc. | Home Health | 1601 128th Lane Nw, Coon Rapids, MN 55448 | 2011-02-09 |
| 1245428317 | Cassandra Joice Carney | Massage Therapist | 8770 Springbrook Dr Nw, Coon Rapids, MN 55448 | 2007-10-14 |
| 1982826434 | Merry Heart Home Care Inc | Home Health | 3248 131st Avenue Nw, Coon Rapids, MN 55448 | 2007-05-03 |
| 1659416196 | James T Sturm | Emergency Medicine | 10160 Foley Blvd Nw Ste 120, Coon Rapids, MN 55448 | 2007-02-21 |
| Find all providers in zip 55448 | ||||
| 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 |
|---|---|---|---|---|
| 1245857655 | Paul Yaeger | Dentist | 3570 River Rapids Dr Nw, Coon Rapids, MN 55448-4100 | 2020-07-01 |
| 1932767688 | Levi Bursch | Dentist | 3570 River Rapids Dr Nw # 110, Coon Rapids, MN 55448-4100 | 2019-05-29 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1316450091 | Tran Dental LLC | Dentist | 3570 River Rapids Dr Nw Ste 110, Coon Rapids, MN 55448-4100 | 2017-11-16 |
| 1003286808 | Modern Dental Professionals, Mn PC | Dentist | 2147 Northdale Blvd Nw, Nwood, Coon Rapids, MN 55433-3006 | 2015-10-06 |
| 1609279140 | Marissa Kaplan | Dentist | 13040 Riverdale Dr Nw Ste 600, Coon Rapids, MN 55448-8419 | 2014-09-29 |
| 1467899708 | Sanket R Nagarkar | Dentist | 3161 Northdale Blvd, Coon Rapids, MN 55433 | 2013-05-28 |
| 1619287562 | Northdale Dentist Pa | Dentist | 2147, Northdale Blvd Nw., Coon Rapids, MN 55433 | 2010-10-13 |
| 1881914182 | Katie Daniels | Dentist | 8960 Springbrook Dr Nw Ste 150, Coon Rapids, MN 55433-5809 | 2010-06-09 |
| 1407085814 | Gina Lorraine Andersland | Dentist | 2519 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-3952 | 2009-07-07 |
| Find all providers in COON RAPIDS | ||||
| City | COON RAPIDS |
| Zip Code | 55448 |
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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.