NORTHLAND DENTAL PARTNERS (NPI# 1366762957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366762957 |
| Entity Type | Organization |
| Organization Name | NORTHLAND DENTAL PARTNERS |
| Other Organization Name | METRO DENTALCARE |
| Practice Address |
718 W 66th St Richfield MN 55423-2203 |
| Mailing Address |
3030 Centre Pointe Dr Suite 100 Roseville MN 55113-1112 |
| Practice Telephone | 6512868100 |
| Mailing Telephone | 6512868100 |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2016-10-13 |
| Authorized Official Name | DR. JAMES LUDKE (PRESIDENT) |
| Authorized Official Telephone | 6512868100 |
| 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 |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Metro Dentalcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013264621 | Northland Dental Partners | Dentist | 3507 Round Lake Blvd. Suite 900, Anoka, MN 55303 | 2012-08-14 |
| 1770730954 | Northland Dental Partners | Dentist | 1905 Plaza Dr, Eagan, MN 55122-2883 | 2008-08-19 |
| 1750538930 | Northland Dental Partners | Dentist | 50 W Nicollet Blvd, Burnsville, MN 55337-4524 | 2008-08-19 |
| 1801043096 | Northland Dental Partners | Dentist | 4959 Excelsior Blvd, St Louis Park, MN 55416-3033 | 2008-08-19 |
| Street Address |
718 W 66TH ST |
| City | RICHFIELD |
| State | MN |
| Zip Code | 55423-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992761480 | Benijala Salihbegovic | Dentist | 718 W 66th St, Richfield, MN 55423-2203 | 2006-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844081 | Ann Niebuhr | Counselor | 6417 Penn Ave S Ste 8 #2, Minneapolis, MN 55423 | 2019-07-25 |
| 1073021077 | Alton John Olson | Surgery | 7008 - Morgan Avenue South, Richfield, MN 55423 | 2018-01-12 |
| 1992238190 | Certified Care Planner LLC | Home Health | 1515 E 66th Street Suite 105, Richfield, MN 55423 | 2017-04-05 |
| 1245780121 | Rachel Lauren Marston | Audiologist | 7745 2nd Ave S., Suite 1, Richfield, MN 55423 | 2016-10-04 |
| 1023564093 | Justine Welch Mastin | Counselor | 6640 Lyndale Ave S Ste 110, Minneapolis, MN 55423 | 2016-08-30 |
| 1215480942 | Smart Choice Mri, LLC | Clinic/Center | 1704 E 66th St, Minneapolis, MN 55423 | 2016-07-29 |
| 1225425531 | Maria Lourdes Nolasco De Leon | Registered Nurse | 6511 12th Ave. S, Richfield, MN 55423 | 2015-04-24 |
| 1508261926 | Ally Medical Supply | Durable Medical Equipment & Medical Supplies | 6238 Lyndale Ave South, Suite # 2, Richfield, MN 55423 | 2014-10-28 |
| 1811230097 | Barb Rose Olson | Registered Nurse | 6461 Lyndale Ave. So, Richfield, MN 55423 | 2013-04-05 |
| 1902149404 | Nina Kae Hanevik | Registered Nurse | 6461 Lyndale Ave So, Richfield, MN 55423 | 2013-04-03 |
| Find all providers in zip 55423 | ||||
| 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 |
|---|---|---|---|---|
| 1770144933 | Michael Rohlf | Dentist | 6945 Penn Ave S Ste 101, Richfield, MN 55423-2082 | 2019-06-27 |
| 1740737782 | Wallace E. Lunden IIi Dds Pa | Dentist | 1401 E 66th St, Richfield, MN 55423-2646 | 2016-09-07 |
| 1942608377 | 2010 Dentistry, Pa | Dentist | 2010 W 66th St, Richfield, MN 55423-2127 | 2014-12-17 |
| 1598810871 | Richard Clark Kunzler | Dentist | 65 S 100 E, Richfield, UT 84701-2600 | 2007-01-24 |
| 1043361975 | Mark Joseph Johnson | Dentist | 98 W 66th St, Richfield, MN 55423-2511 | 2007-01-16 |
| 1306943998 | Clinton L Winters | Dentist | 140 E 200 N, Richfield, UT 84701-2144 | 2006-09-17 |
| 1528076965 | Darrin R Jeffery | Dentist | 325 N 600 E, Richfield, UT 84701-2240 | 2006-08-03 |
| 1386651123 | Coleen Marie Demas | Dentist | 4174 Wheatley Rd, Suite 400, Richfield, OH 44286-9052 | 2006-08-02 |
| 1720016025 | Nobuhiko John Akimoto | Dentist | 1305 E 66th St, Richfield, MN 55423-2643 | 2006-06-28 |
| 1548226756 | Janice Oberg Frederick | Dentist | 6410 Nicollet Ave, Richfield, MN 55423-1613 | 2006-04-25 |
| Find all providers in RICHFIELD | ||||
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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.