ST. PAUL PEDIATRIC DENTISTRY, PC (NPI# 1386943876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386943876 |
| Entity Type | Organization |
| Organization Name | ST. PAUL PEDIATRIC DENTISTRY, PC |
| Practice Address |
1514 White Bear Ave N Saint Paul MN 55106-1624 |
| Practice Telephone | 6517740311 |
| Mailing Telephone | 6517740311 |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2011-03-23 |
| Authorized Official Name | DR. JULIE C HAMAN (PRESIDENT) |
| Authorized Official Telephone | 6517740311 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
S37 | MN | Ambulatory Health Care Facilities |
| Street Address |
1514 WHITE BEAR AVE N |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55106-1624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013909381 | Julie C Haman | Dentist | 1514 White Bear Ave N, Saint Paul, MN 55106-1624 | 2005-08-22 |
| 1427398411 | Premier Dental | Dentist | 1514 White Bear Ave N, B, Saint Paul, MN 55106-1624 | 2013-02-27 |
| 1659473205 | Thomas James Mccarter | Dentist | 1514 White Bear Ave N, Saint Paul, MN 55106-1624 | 2006-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692403 | Shoua Yang | Pharmacist | 1180 Arcade St., St. Paul, MN 55106 | 2020-09-01 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1144870544 | Lucy Anne Claugherty | Technician | 975 Cook Ave E., St. Paul, MN 55106 | 2019-09-17 |
| 1326602756 | Leslie Neher | Student in an Organized Health Care Education/Training Program | 1414 Maryland Avenue East, St. Paul, MN 55106 | 2019-05-01 |
| 1841758851 | Susan Janine Ferrell | Dental Hygienist | East Side Dental, 895 East 7th Street, St Paul, MN 55106 | 2019-03-08 |
| 1811465271 | Care Plus Hha Inc | Home Health | 1299 Arcade Street, Ste 100, St. Paul, MN 55106 | 2018-11-05 |
| 1033696760 | Strong Tower Health | Clinical Nurse Specialist | 1686 Suburban Ave, St Paul, MN 55106 | 2018-07-25 |
| 1861978439 | William Warmka | Physical Therapist | 1385 Phalen Blvd, St. Paul, MN 55106 | 2018-07-17 |
| 1902392111 | Chaffee Dialysis LLC | Clinic/Center | 862 Arcade St, Saint Paul, MN 55106 | 2018-07-11 |
| 1922594217 | Vangneng Xiong | Marriage & Family Therapist | 1299 Arcade St Ste 202, Saint Paul, MN 55106 | 2018-07-10 |
| Find all providers in zip 55106 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144860685 | Mn Community Care- Downtown Clinic Dental | Clinic/Center | 424 Dorothy Day Place, Saint Paul, MN 55102-1025 | 2020-01-13 |
| 1184980112 | St. Anthony Park Dental Arts, P.a. | Clinic/Center | 2282 Como Ave, Saint Paul, MN 55108-1722 | 2012-04-04 |
| 1417007436 | West Side Community Health Services, Inc. | Clinic/Center | 478 Robert St S, Saint Paul, MN 55107-2236 | 2007-01-11 |
| 1407914674 | Amherst H. Wilder Foundation | Clinic/Center | 516 Humboldt Ave, Saint Paul, MN 55107 | 2006-12-04 |
| 1154933661 | Grand Avenue Dental, LLC | Clinic/Center | 960 Grand Ave, Saint Paul, MN 55105-3014 | 2020-08-18 |
| 1043870645 | St Paul Oral Surgery and Dental Implants LLC | Clinic/Center | 2550 University Ave W Ste 115n, Saint Paul, MN 55114-1097 | 2019-06-17 |
| 1427519529 | Bright Smiles Dental Program | Clinic/Center | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2019-03-29 |
| 1033675871 | N&m Dds | Clinic/Center | 483 Brimhall St, Saint Paul, MN 55116-1508 | 2019-02-18 |
| 1871064105 | Luna Land Dental, Corp. | Clinic/Center | 1215 Rice St, Saint Paul, MN 55117-4538 | 2018-12-16 |
| 1689181489 | Luna Land Dental, Corp. | Clinic/Center | 555 Wabasha St N Ste 250, Saint Paul, MN 55102-1673 | 2018-01-03 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55106 |
Please comment or provide details below to improve the information on ST. PAUL PEDIATRIC DENTISTRY, PC.
| 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.