DR. MICHAEL S SUDIT (NPI# 1396965570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396965570 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL S SUDIT |
| Credential | D.D.S. |
| Practice Address |
10500 Wayzata Blvd Minnetonka MN 55305 |
| Practice Telephone | 9525939310 |
| Practice Fax Number | 9525931131 |
| Mailing Telephone | 9525939310 |
| Mailing Fax Number | 9525931131 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9809 | MN | Dental Providers |
| Street Address |
10500 WAYZATA BLVD |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215953732 | John Odom | Emergency Medicine | 10500 Wayzata Blvd, Minnetonka, MN 55305-1511 | 2006-07-15 |
| 1851908685 | Asp Dental, PC | Clinic/Center | 10500 Wayzata Blvd, Minnetonka, MN 55305-1511 | 2020-09-25 |
| 1487089298 | Jessica Ann Kimberly | Occupational Therapist | 10500 Wayzata Blvd, Minnetonka, MN 55305-1511 | 2013-09-11 |
| 1326385667 | Margaret Emily Eaton | Dietitian, Registered | 10500 Wayzata Blvd, Minnetonka, MN 55305-1511 | 2013-01-07 |
| 1184903486 | Geoffrey N Sudit | Dentist | 10500 Wayzata Blvd, Minnetonka, MN 55305-1511 | 2011-08-04 |
| 1063570554 | James C Smith | Physical Therapist | 10500 Wayzata Blvd, Minnetonka, MN 55305-1511 | 2006-12-05 |
| 1063570422 | Active Therapeutics Institute, Pa | Physical Medicine & Rehabilitation | 10500 Wayzata Blvd, Minnetonka, MN 55305-1511 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| 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 |
|---|---|---|---|---|
| 1811524234 | Hopkins Crossroads Dentistry, PC | Dentist | 11300 Wayzata Blvd # G, Minnetonka, MN 55305-2019 | 2020-03-25 |
| 1427298595 | Peter Louis Walman | Dentist | 11601 Minnetonka Mills Rd., B-30, Minnetonka, MN 55305-5176 | 2009-03-02 |
| 1780721415 | William Walton Wagnild | Dentist | 10976 Cedar Lake Rd, Minnetonka, MN 55305-3366 | 2007-01-31 |
| 1437211448 | John Adam Petty | Dentist | 17821 Highway 7 Ste 2f, Minnetonka, MN 55345-4113 | 2006-12-15 |
| 1598826182 | Brian Patrick Mondale | Dentist | 10590 Wayzata Blvd, #270, Minnetonka, MN 55305-5512 | 2006-12-13 |
| 1376602326 | Anne Bridget Balfour | Dentist | 13911 Ridgedale Dr Ste 395, Minnetonka, MN 55305-1770 | 2006-12-06 |
| 1730247180 | Pdg,p.a. | Dentist | 13059 Ridgedale Dr, Minnetonka, MN 55305-1807 | 2006-12-05 |
| 1669530101 | Pdg, P.a. | Dentist | 14525 Highway 7 Ste 125, Minnetonka, MN 55345-3738 | 2006-12-05 |
| 1750477972 | Gerald Alan Sandler | Dentist | 1730 Plymouth Rd Ste 204, Minnetonka, MN 55305-1961 | 2006-10-05 |
| 1861587545 | James Ross Schwartz | Dentist | 17809 Hutchins Dr Ste 108, Minnetonka, MN 55345-4101 | 2006-10-04 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
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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.