DAKOTA CHILDREN'S DENTISTRY (NPI# 1306924584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306924584 |
| Entity Type | Organization |
| Organization Name | DAKOTA CHILDREN'S DENTISTRY |
| Practice Address |
3410 151st St W Rosemount MN 55068-1755 |
| Practice Telephone | 6513225788 |
| Practice Fax Number | 6513224257 |
| Mailing Telephone | 6513225788 |
| Mailing Fax Number | 6513224257 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DANIEL H GLENN (PRESIDENT) |
| Authorized Official Telephone | 6513225788 |
| Authorized Official Credential | D.D.S, M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D10462 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 3049280 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811061054 | Dakota Children's Dentistry | Dentist | 5955 Carmen Ave, Inver Grove Heights, MN 55076-4416 | 2006-11-20 |
| Street Address |
3410 151ST ST W |
| City | ROSEMOUNT |
| State | MN |
| Zip Code | 55068-1755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871564195 | Kerry Gwen Johnson Winters | Dentist | 3410 151st St W, Rosemount, MN 55068-1755 | 2006-01-27 |
| 1760727804 | Winters Pediatric Dentistry, Pllc | Clinic/Center | 3410 151st St W, Rosemount, MN 55068-1755 | 2012-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740744911 | Scott Hogan | Chiropractor | 2930 146th St. W #110, Rosemount, MN 55068 | 2019-01-22 |
| 1184133357 | Green Medical Solutions | Durable Medical Equipment & Medical Supplies | 15170 Chippendale Ave W., Suite 101, Rosemount, MN 55068 | 2017-09-20 |
| 1215382767 | Jessica Warren | Chiropractor | 15170 Chippendale Ave S, Suite 200, Rosemount, MN 55068 | 2016-05-03 |
| 1033596275 | Leslie Wight | Marriage & Family Therapist | 2930 146th St. W, #114, Rosemount, MN 55068 | 2015-04-27 |
| 1871914044 | Jeanine Martin | Occupational Therapy Assistant | 2930 146th St W Apt 239, Rosemount, MN 55068 | 2013-12-13 |
| 1699097394 | Colleen Renee Mens | Social Worker | 15170 Chippendale Ave W Ste 300, Rosemount, MN 55068 | 2010-02-22 |
| 1306005111 | Jaclyn J Bohm | Podiatrist | 15705 Cimarron Ave, Rosemount, MN 55068 | 2008-06-06 |
| 1619185196 | John J Benson | Marriage & Family Therapist | 14555 South Robert Trl, Rosemount, MN 55068 | 2007-05-18 |
| 1316062557 | Orthodontic Care Group | Dentist | 14455 South Robert Trail, Inver Grove Heights, MN 55068 | 2007-03-20 |
| 1063400901 | Mark John Nelson | Dentist | 14450 S Rober Tr, Dakota Dental and Implant Center, Rosemount, MN 55068 | 2005-10-13 |
| Find all providers in zip 55068 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871564195 | Kerry Gwen Johnson Winters | Dentist | 3410 151st St W, Rosemount, MN 55068-1755 | 2006-01-27 |
| 1760013015 | Dental Specialists of Minnesota, Pllc | Dentist | 15015 Cimarron Ave, Rosemount, MN 55068-2771 | 2020-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477025906 | Riverdale Kidds Pediatric Dentistry, Pllc | Dentist | 3585 124th Ave Nw Ste 400, Coon Rapids, MN 55433-1008 | 2018-12-21 |
| 1467924290 | Camp Smile Pediatric Dentistry Excelsior Pllc | Dentist | 675 Water St Ste 2, Excelsior, MN 55331-3072 | 2018-12-18 |
| 1932671765 | Camp Smile Pediatric Dentistry Chaska | Dentist | 111 Hundertmark Rd Ste 304n, Chaska, MN 55318-1587 | 2018-12-18 |
| 1538678057 | Blaine Kidds Pediatric Dentistry Pllc | Dentist | 1351 113th Ave Ne, Blaine, MN 55434-3874 | 2017-09-27 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1710367925 | Lindsay Bedeaux | Dentist | 7373 France Ave S Ste 400, Edina, MN 55435-4549 | 2015-06-02 |
| 1609272822 | Rochester Pediatric Dentistry LLC | Dentist | 1705 S Boradway Ave Ste B, Rochester, MN 55904-7960 | 2014-11-16 |
| 1396186813 | Central Minnesota Pediatric Dentists Pa | Dentist | 507 N Nokomis St Ste C, Alexandria, MN 56308-2353 | 2013-07-12 |
| 1265873707 | Central Minnesota Pediatric Dentists Pa | Dentist | 570 Humboldt Dr Ste 102, Big Lake, MN 55309-4844 | 2013-07-12 |
| 1013264621 | Northland Dental Partners | Dentist | 3507 Round Lake Blvd. Suite 900, Anoka, MN 55303 | 2012-08-14 |
| Find all providers with the same taxonomy | ||||
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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.