KYLE RILEY EDLUND


Address: 3060 Woodbury Drive, #b, Woodbury, MN 55129
Phone: 6517397910

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
10181 MN Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
BCBS 66861ED 01
UNITED CONCORDIA 138338 01

Office Location

Street Address 3060 WOODBURY DRIVE
#B
City WOODBURY
State MN
Zip Code 55129

Providers in the same zip code

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 Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City WOODBURY
Zip Code 55129

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Dataset Information

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.

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