MINNESOTA DENTAL IMPLANT CENTER (NPI# 1316210347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316210347 |
| Entity Type | Organization |
| Organization Name | MINNESOTA DENTAL IMPLANT CENTER |
| Other Organization Name | THE DENTAL IMPLANT CENTER |
| Practice Address |
8325 Wayzata Blvd Ste 150 Golden Valley MN 55426-1398 |
| Practice Telephone | 7634179975 |
| Practice Fax Number | 7634179976 |
| Mailing Telephone | 7634179975 |
| Mailing Fax Number | 7634179976 |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |
| Authorized Official Name | MS. CHRISTINA MOODY (OFFICE MANAGER) |
| Authorized Official Telephone | 6057165622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | D12070 | MN | Dental Providers |
| Y | 122300000X | Dentist | D8779 | MN | Dental Providers |
| Other Name | Type Code |
|---|---|
| The Dental Implant Center | Doing Business As Name - Organization |
| Street Address |
8325 WAYZATA BLVD STE 150 |
| City | GOLDEN VALLEY |
| State | MN |
| Zip Code | 55426-1398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1174696835 | Larry Kreuger | Dentist | 5851 Duluth St Ste 218, Golden Valley, MN 55422-3956 | 2006-11-17 |
| 1871536987 | Jack Maurice Kimmerle | Dentist | 2445 Winnetka Ave N, Golden Valley, MN 55427-3598 | 2006-06-14 |
| 1134614613 | Marin Ilene Parsons | Dentist | 7501 Golden Valley Rd, Golden Valley, MN 55427-4584 | 2018-06-26 |
| 1780757450 | Lucas Eichmeyer | Dentist | 5851 Duluth St Ste 218, Golden Valley, MN 55422-3956 | 2006-11-17 |
| 1912082223 | Janet G Parsons | Dentist | 7501 Golden Valley Rd, Golden Valley, MN 55427-4563 | 2006-10-26 |
| 1619938057 | Giebenhain Dental Associates Pa | Dentist | 5851 Duluth Street, Suite #103, Golden Valley, MN 55422 | 2006-03-28 |
| 1023000890 | Shari Kay Bruning | Dentist | 5851 Duluth St, Suite 100, Golden Valley, MN 55422-3946 | 2005-08-18 |
| 1366440554 | Jeffrey Allyn Steele | Dentist | 5851 Duluth St, Golden Valley, MN 55422-3946 | 2005-07-12 |
| 1205834850 | Samira S. Mahabadi | Dentist | 5851 Duluth St, Suite #100, Golden Valley, MN 55422-3946 | 2005-07-08 |
| Find all providers in GOLDEN VALLEY | ||||
| City | GOLDEN VALLEY |
| Zip Code | 55426 |
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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.