KYLE RILEY EDLUND (NPI# 1497821391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497821391 |
Entity Type | Individual |
Full Name | KYLE RILEY EDLUND |
Credential | DDS |
Practice Address |
3060 Woodbury Drive #b Woodbury MN 55129 |
Practice Telephone | 6517397910 |
Practice Fax Number | 6517390611 |
Mailing Telephone | 6517397910 |
Mailing Fax Number | 6517390611 |
Enumeration Date | 2006-11-24 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
10181 | MN | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BCBS | 66861ED | 01 | |
UNITED CONCORDIA | 138338 | 01 |
Street Address |
3060 WOODBURY DRIVE #B |
City | WOODBURY |
State | MN |
Zip Code | 55129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770006983 | Logan Thompson | Chiropractor | 10631 Pond Curve, Woodbury, MN 55129 | 2017-07-19 |
1942650619 | The Hendricks Group Inc. | Assisted Living Facility | 10025 Antrim Court, Woodbury, MN 55129 | 2016-06-14 |
1235588468 | Nathan Robert Mayernik | Physical Therapist | 4123 Radio Dr, Suite 100, Woodbury, MN 55129 | 2016-06-08 |
1699146035 | St. Therese of Woodbury, LLC | Skilled Nursing Facility | 7555 Bailey Road, Woodbury, MN 55129 | 2015-10-12 |
1548602865 | Monica Bajracharya | Internal Medicine | 9373 Compass Pointe Rd, Woodbury, MN 55129 | 2013-07-28 |
1730454752 | Amanda E Feeney | Physical Therapist | 4123 Radio Drive, Ste 100, Woodbury, MN 55129 | 2012-03-09 |
1104193762 | Minneapolis-st.paul Endodontics | Dentist | 10150 City Walk Dr Ste C, Woodbury, MN 55129 | 2011-11-28 |
1659502417 | Charles Goff Jr. | Marriage & Family Therapist | 1919 University Ave W Suite 200, St. Paul, MN 55129 | 2009-07-28 |
1902979206 | Robert Edgar Eng | Dentist | 3100 Woodbury Drive, Woodbury, MN 55129 | 2006-11-16 |
1629004692 | Therex Rehab Specialists, LLC | Physical Therapist | 1125 Woodbury Drive, Suite 100, Woodbury, MN 55129 | 2006-06-23 |
Find all providers in zip 55129 |
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 |
---|---|---|---|---|
1932769676 | Kristina Pokharel | Dentist | 8525 Titanium Cir, Woodbury, MN 55129-2227 | 2019-06-14 |
1104318328 | Nailah Khalfan | Dentist | 48 Westwood Ct, Woodbury, NY 11797-2624 | 2018-06-04 |
1255880944 | Salute Dental | Dentist | 2101 Woodwinds Dr Ste 500, Woodbury, MN 55125-2527 | 2016-09-23 |
1164877288 | Jurim Dental Group | Dentist | 370 Crossways Park Dr, Woodbury, NY 11797-2050 | 2016-04-26 |
1639544141 | Corsi Dental Associates | Dentist | 161 N Broad St, Woodbury, NJ 08096-1718 | 2015-12-09 |
1477929008 | Avra Miriam Louis | Dentist | 85 Woodlake Dr W, Woodbury, NY 11797-2304 | 2015-08-18 |
1053791954 | Rebecca J Petersen | Dentist | 8325 Seasons Parkway Suite 103, Healthpartners Woodbury Dental, Woodbury, MN 55125-3477 | 2015-06-04 |
1205261195 | City Center Dental, L.L.C. | Dentist | 8375 City Centre Dr, Woodbury, MN 55125-3324 | 2013-09-10 |
1518231596 | Woodbury Dental Arts Pa | Dentist | 2070 Eagle Creek Ln, Woodbury, MN 55129-3216 | 2012-03-08 |
1134497621 | Alan Jeffrey Wilensky | Dentist | 2 Hunters Run, Woodbury, NY 11797-1100 | 2011-12-12 |
Find all providers in WOODBURY |
Please comment or provide details below to improve the information on KYLE RILEY EDLUND.
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.