CHEROKEE DENTAL, P.A. (NPI# 1295890895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295890895 |
| Entity Type | Organization |
| Organization Name | CHEROKEE DENTAL, P.A. |
| Practice Address |
374 Annapolis St W Saint Paul MN 55118-1107 |
| Practice Telephone | 6514576231 |
| Practice Fax Number | 6514578008 |
| Mailing Telephone | 6514576231 |
| Mailing Fax Number | 6514578008 |
| Enumeration Date | 2006-12-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID DOUGLAS VANDEVELDE (PRESIDENT) |
| Authorized Official Telephone | 6514576231 |
| 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 |
D8801 | MN | Dental Providers |
| Street Address |
374 ANNAPOLIS ST W |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55118-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033764428 | Able Solutions LLC | Day Training, Developmentally Disabled Services | 260 E Wentworth Ave Suite 112, St Paul, MN 55118 | 2019-08-03 |
| 1861059974 | Tanya F Langford | Massage Therapist | 3627 Cedar Ave No., 1166 S Robert St. St. Paul West, St. Paul, MN 55118 | 2019-05-23 |
| 1396210779 | Southview Operations LLC | Skilled Nursing Facility | 2000 Oakdale Avenue, West St. Paul, MN 55118 | 2018-10-11 |
| 1538643424 | Marcus James Rohrbauck | Social Worker | 1312-1314 Livingston Avenue, West St. Paul, MN 55118 | 2018-09-18 |
| 1609394287 | Eric Graham Dorr | Pharmacist | 149 Thompson Ave East, Suite 150, West Saint Paul, MN 55118 | 2017-09-05 |
| 1518485242 | Meaghan Claire Puckett | Marriage & Family Therapist | 33 Wentworth Ave E Ste 210, West St Paul, MN 55118 | 2017-09-01 |
| 1174078307 | Michal Frank | Counselor | 240 Dakota St, West Saint Paul, MN 55118 | 2016-08-17 |
| 1184011868 | Rachel Devries | Pediatrics | 1880 Livingston Ave Ste 102, West St Paul, MN 55118 | 2015-04-21 |
| 1124411772 | Ahmed Salad Associates | Dentist | 1200 S Robert St, Suite C, St Paul, MN 55118 | 2015-03-06 |
| 1225458458 | Shellea J Altman | Dentist | 576 High Ridge Circle, Mendota Heights, MN 55118 | 2014-04-28 |
| Find all providers in zip 55118 | ||||
| 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 |
|---|---|---|---|---|
| 1831614387 | David Ji Hyun Park | Dentist | 393 Dunlap St N Ste 308, Saint Paul, MN 55104-4223 | 2017-08-06 |
| 1205289428 | Chukwujindu Onyemordi Nwaigbo | Dentist | 476 Herschel St, Apt 1, Saint Paul, MN 55104-3608 | 2016-07-22 |
| 1427302983 | Ali Barbarawi | Dentist | 1200 Robert St S, Saint Paul, MN 55118-2308 | 2012-11-06 |
| 1801029293 | Family First Dental Associates of West Point, P.C. | Dentist | 809 6th St, Saint Paul, NE 68873-1604 | 2009-09-01 |
| 1942470539 | Michael A. Kurkowski, Pa | Dentist | 3500 Rice St, Saint Paul, MN 55126-3043 | 2008-03-10 |
| 1841317732 | Mark I. Malterud, D.d.s., P.a. | Dentist | 770 Mount Curve Blvd, Saint Paul, MN 55116-1165 | 2007-03-23 |
| 1124172754 | Thomas Elliot Vukodinovich | Dentist | 542 Snelling Ave S, Saint Paul, MN 55116-1565 | 2007-01-22 |
| 1699825612 | Lezlie Ann Nelson | Dentist | 375 Jackson St Ste 200, Saint Paul, MN 55101-1806 | 2007-01-11 |
| 1174671358 | Lynn Robert Ostlund | Dentist | 1043 Payne Ave, Saint Paul, MN 55101-3840 | 2007-01-06 |
| 1497817902 | Terrance Michael O'neill | Dentist | 670 Cleveland Ave S, Saint Paul, MN 55116-1218 | 2006-12-14 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55118 |
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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.