FALLS COURT DENTISTS (NPI# 1285030387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285030387 |
| Entity Type | Organization |
| Organization Name | FALLS COURT DENTISTS |
| Other Organization Name | MAIN STREET DENTAL OF SAUK CENTRE |
| Practice Address |
304 Main St Sauk Centre MN 56378 |
| Practice Telephone | 3203522822 |
| Practice Fax Number | 3203514577 |
| Mailing Telephone | 3203522822 |
| Mailing Fax Number | 3203514577 |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2015-10-30 |
| Authorized Official Name | TAMMY MARIE HINES (OFFICE MGR) |
| Authorized Official Telephone | 3206326621 |
| Is Organization Subpart | Y |
| Parent Organization Name | FALLS COURT DENTISTS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9733 | MN | Dental Providers |
| Other Name | Type Code |
|---|---|
| Main Street Dental of Sauk Centre | Doing Business As Name - Organization |
| Street Address |
304 MAIN ST |
| City | SAUK CENTRE |
| State | MN |
| Zip Code | 56378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003908971 | Michael David Long | Dentist | 304 Main St, Sauk Centre, MN 56378-0187 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245722263 | Christine Ann Dawson | Counselor | 310 Us Hwy 71, Sauk Center, MN 56378 | 2018-06-05 |
| 1427417625 | Theresa Hoglund Mueller | Counselor | 965 Main Street S, # 103, Sauk Centre, MN 56378 | 2016-02-16 |
| 1114278280 | Eagle's Healing Nest | Public Health or Welfare | 310 Highway 71 N., Sauk Centre, MN 56378 | 2012-09-28 |
| 1659402089 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 205 12th St. S., Sauk Centre, MN 56378 | 2007-03-08 |
| 1285665794 | City of Sauk Centre | Ambulance | 320 South Oak Street, Sauk Centre, MN 56378 | 2006-07-05 |
| 1881630051 | Larry Burton Okerlund | Family Medicine | 433 Elm St N, Centracare Clinic - Sauk Centre, Sauk Centre, MN 56378 | 2006-06-22 |
| 1598753550 | Winter's Main Street Drug | Pharmacist | 300 Main St, Sauk Centre, MN 56378 | 2005-10-12 |
| 1033186051 | Sherree Lee Engen | Nurse Anesthetist, Certified Registered | 39595 County Road 17, Sauk Centre, MN 56378-0162 | 2006-03-08 |
| 1336409507 | Rebecca Kay Stepan | Family Medicine | Centracare Health Sauk Center Clinic, 425 Elm St N, Sauk Centre, MN 56378-1010 | 2012-05-22 |
| 1174586127 | Kevin Elmer Zimmer | Nurse Anesthetist, Certified Registered | 425 Elm St N, Sauk Centre, MN 56378-1010 | 2006-04-10 |
| Find all providers in zip 56378 | ||||
| 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 |
|---|---|---|---|---|
| 1457572844 | James Michael Wachlarowicz | Dentist | 526 Main St S, Sauk Centre, MN 56378-1511 | 2007-05-01 |
| 1962598235 | James R Williams | Dentist | 520 4th St S, Sauk Centre, MN 56378-1210 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001149 | Kalyan Chakravarthy Kondreddi | Dentist | 327 Western Ave Ste A, Fergus Falls, MN 56537-2403 | 2020-10-20 |
| 1821696022 | Wyoming Family Dental | Dentist | 5378 East Viking Blvd., Wyoming, MN 55092 | 2020-10-12 |
| 1770190951 | Bluff Creek Dental Pllc | Dentist | 600 Market St Ste 130, Chanhassen, MN 55317-4570 | 2020-09-30 |
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1073128153 | Michael W Flinn Dds, Pa | Dentist | 200 Firewood Drive, Redwood, MN 56283 | 2020-09-15 |
| 1770196891 | Thomas J Hoeffel Dds Pa | Dentist | 2819 Hamline Ave N Ste 104, Roseville, MN 55113-7718 | 2020-08-28 |
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1679182687 | Downtown Dental Center Pllc | Dentist | 825 Nicollet Mall Ste 1427, Minneapolis, MN 55402-2703 | 2020-07-26 |
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1386252344 | Kacie Crowell Green | Dentist | 8900 Walnut St # 459, Rockford, MN 55373-5135 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
| City | SAUK CENTRE |
| Zip Code | 56378 |
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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.