CHILDREN'S DENTAL SERVICES (NPI# 1407224827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407224827 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S DENTAL SERVICES |
| Practice Address |
325 N Sibley Ave Litchfield MN 55355-2150 |
| Practice Telephone | 6127461530 |
| Practice Fax Number | 6127461531 |
| Mailing Telephone | 6127461530 |
| Mailing Fax Number | 6127461531 |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |
| Authorized Official Name | SARAH WOVCHA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6127461530 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 9212238 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669842662 | Children's Dental Services | Dentist | 229 W Lake St, Chisholm, MN 55719 | 2015-10-02 |
| 1972987055 | Children's Dental Services | Dentist | 1004 Commercial Dr, Buffalo, MN 55313-1736 | 2015-07-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHILDREN'S DENTAL SERVICES | 636 Broadway St Ne, Minneapolis, MN 55413-2164 |
| Street Address |
325 N SIBLEY AVE |
| City | LITCHFIELD |
| State | MN |
| Zip Code | 55355-2150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112983 | Katie Sue Fairchild | Pharmacist | 2301 E Frontage Rd, Litchfield, MN 55355 | 2020-10-21 |
| 1316419377 | Meeker-mcleod-sibley Community Health Services | Preventive Medicine | 114 North Holbombe Ave, Litchfield, MN 55355 | 2018-12-31 |
| 1275009086 | Joyce Lin Knieff | Acupuncturist | 703 N Holcombe Ave, Litchfield, MN 55355 | 2018-10-18 |
| 1154861839 | Cornerstone Care | Home Health | 23766 570th Ave, Litchfield, MN 55355 | 2017-03-01 |
| 1427420744 | Pathways Therapeutic Services, LLC | Social Worker | 621 Sibley Ave South, Litchfield, MN 55355 | 2015-10-26 |
| 1982002663 | Emily Brookshaw | Physical Therapist | 612 South Sibley Avenue, Litchfield, MN 55355 | 2014-12-12 |
| 1275882771 | Patricia Judith Finnegan-baker | Pharmacist | 59563 300th St, Litchfield, MN 55355 | 2012-08-30 |
| 1972832301 | Tracy Madsen | Registered Nurse | 114 N. Holcombe, Litchfield, MN 55355 | 2009-12-14 |
| 1144495391 | David Edward Schlack | Psychologist | 1326 East Ripley Street, Litchfield, MN 55355 | 2008-04-29 |
| 1033391099 | St. Cloud Hospital | Clinic/Center | 520 Hwy 12 East, Suite 6, Litchfield, MN 55355 | 2007-12-03 |
| Find all providers in zip 55355 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952399917 | Larry D Shapiro | Dentist | 901 E Chapin St, Litchfield, IL 62056-1350 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076073 | Rae Ann Ann Swanson | Dentist | 755 Florida Ave S, Minneapolis, MN 55426-1784 | 2020-09-02 |
| 1083178149 | Lift Dental Pllc | Dentist | 124 2nd St S Ste 101, Stillwater, MN 55082-5179 | 2019-01-23 |
| 1669842662 | Children's Dental Services | Dentist | 229 W Lake St, Chisholm, MN 55719 | 2015-10-02 |
| 1194095778 | Matthew Allen Olson | Dentist | 715 11th St N Ste 106b, Moorhead, MN 56560-2000 | 2012-01-12 |
| 1801118039 | Omar Dyab Dds Pa | Dentist | 13590 Northdale Blvd, Suite 300, Rogers, MN 55374-2150 | 2010-02-15 |
| 1407973605 | Childrens Dental Services Inc | Dentist | 636 Broadway St. Ne, Minneapolis, MN 55413 | 2007-03-23 |
| 1437287679 | Mississippi Headwaters Area Dental Health Center, Inc. | Dentist | 616 America Ave Nw Ste 340, Attention Mary Marchell, Bemidji, MN 56601-3871 | 2007-03-01 |
| 1205991866 | Fergus Falls Dental Group | Dentist | 1121 Pebble Lake Rd, Fergus Falls, MN 56537 | 2006-12-26 |
| 1437238052 | Tracey Roseann Charles | Dentist | 9345 Calypso Trail Nw, Bemidji, MN 56601 | 2006-11-03 |
| 1386722585 | William Lynn Canada | Dentist | 619 Kay Ave Se, Bemidji, MN 56601-3638 | 2006-11-02 |
| Find all providers with the same taxonomy | ||||
| City | LITCHFIELD |
| Zip Code | 55355 |
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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.