MAIN STREET DENTAL CLINIC OF NEW RICHLAND PLLP (NPI# 1316911415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316911415 |
| Entity Type | Organization |
| Organization Name | MAIN STREET DENTAL CLINIC OF NEW RICHLAND PLLP |
| Practice Address |
132 North Broadway New Richland MN 56072 |
| Mailing Address |
132 North Broadway Po Box 278 New Richland MN 56072 |
| Practice Telephone | 5074630502 |
| Practice Fax Number | 5074630769 |
| Mailing Telephone | 5074630502 |
| Mailing Fax Number | 5074630769 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN M FLOR (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5075832141 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8069253 | MN | Dental Providers |
| Street Address |
132 NORTH BROADWAY |
| City | NEW RICHLAND |
| State | MN |
| Zip Code | 56072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790843324 | Granite City Chiropractic, Inc | Clinic/Center | 131 South Broadway, New Richland, MN 56072 | 2006-12-05 |
| 1124020896 | Raymond W Mielke | Chiropractor | 131 Broadway Ave So, New Richland, MN 56072 | 2005-08-12 |
| 1033323001 | Ecumen | Assisted Living Facility | 113 1st St Sw, New Richland, MN 56072-1200 | 2007-05-09 |
| 1659828382 | The Beacon At New Richland LLC | Assisted Living Facility | 113 1st St Sw, New Richland, MN 56072-1200 | 2016-09-11 |
| 1790874147 | Ind School Dist 2168 Nrheg Public Schools | Local Education Agency (LEA) | 306 Ash Ave S, New Richland, MN 56072-1514 | 2006-10-12 |
| 1598053886 | James Hansen | Speech-Language Pathologist | 13485 Sw 102nd Ave, New Richland, MN 56072-1825 | 2011-07-20 |
| 1144215252 | New Richland Care Center | Skilled Nursing Facility | 312 1st St Ne, New Richland, MN 56072-2003 | 2005-09-14 |
| 1053303552 | City of New Richland | Ambulance | 203 Broadway Ave N, New Richland, MN 56072-2021 | 2005-08-19 |
| 1760424295 | New Richland Drug PC | Durable Medical Equipment & Medical Supplies | 112 Broadway Ave S, New Richland, MN 56072-2024 | 2006-06-11 |
| 1003022518 | Phoenix Group Homes, Inc. | Lodging | 20898 130th St, New Richland, MN 56072-3501 | 2007-05-14 |
| Find all providers in zip 56072 | ||||
| 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 |
|---|---|---|---|---|
| 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 | NEW RICHLAND |
| Zip Code | 56072 |
Please comment or provide details below to improve the information on MAIN STREET DENTAL CLINIC OF NEW RICHLAND PLLP.
| 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.