DR. CHARLES WALTER PUFFER (NPI# 1508823139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508823139 |
| Entity Type | Individual |
| Full Name | DR. CHARLES WALTER PUFFER |
| Credential | DDS |
| Practice Address |
14120 Commerce Ave Ne Suite 300 Prior Lake MN 55372-1500 |
| Practice Telephone | 9524471080 |
| Practice Fax Number | 9524470376 |
| Mailing Telephone | 9524471080 |
| Mailing Fax Number | 9524470376 |
| Enumeration Date | 2006-04-27 |
| 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 |
D8303 | MN | Dental Providers |
| Street Address |
14120 COMMERCE AVE NE SUITE 300 |
| City | PRIOR LAKE |
| State | MN |
| Zip Code | 55372-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841337425 | Wayne Gene Hines | Optometrist | 14120 Commerce Ave Ne, Suite 100, Prior Lake, MN 55372-1500 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043830995 | Abby Lynn Quinnell | Physician Assistant | 19455 Towering Oaks Trl, Prior Lake, MN 55372 | 2020-04-21 |
| 1659914547 | Touching Lives Community, Inc. | Assisted Living Facility | 5554 Woodside Road, Se, Prior Lake, MN 55372 | 2019-10-23 |
| 1366961542 | Doreen Lubi Isubikalu | Family Medicine | 2330 Sioux Trail Nw, Prior Lake, MN 55372 | 2017-09-19 |
| 1760909519 | Terese Marie Sovis | Massage Therapist | 15140 Green Oaks Trail, Prior Lake, MN 55372 | 2017-08-23 |
| 1689805301 | Laura Grace Patton | Physician Assistant | 4151 Willowwood Street Se, Prior Lake, MN 55372 | 2009-07-29 |
| 1952582702 | Lilah Suzan Ekim Dds, Ms. Pllc | Dentist | 16190 Erie Ave Se, Prior Lake, MN 55372 | 2007-11-21 |
| 1679618326 | Basile Orthodontics Pa | Dentist | 5116 Gateway Street Se #103, Suite #103, Prior Lake, MN 55372 | 2007-02-20 |
| 1700890134 | Shakopee Mdewakanton Emergency Services | Ambulance | 2525 Flandreau Trail, Prior Lake, MN 55372 | 2006-07-28 |
| 1548299167 | Darlene Merchant | Psychologist | 15815 Franklin Trail S.e., Suite 308 Darlene Merchant, M.a., L.p., Prior Lake, MN 55372 | 2006-07-03 |
| 1508806530 | Kelly Brooks | Nurse Anesthetist, Certified Registered | 3564 Willow Beach St Sw, Prior Lake, MN 55372 | 2006-06-07 |
| Find all providers in zip 55372 | ||||
| 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 |
|---|---|---|---|---|
| 1225285208 | Dr. Howard E. Olson Pa | Dentist | 15870 Franklin Trl Se, Prior Lake, MN 55372-2092 | 2008-08-21 |
| 1871716688 | Chad Olson | Dentist | 15870 Franklin Trl Se Ste 200, Prior Lake, MN 55372-2021 | 2007-04-10 |
| 1356426332 | David A Linde | Dentist | 14464 Shady Beach Trl Ne, Prior Lake, MN 55372-1350 | 2006-10-26 |
| 1518056704 | Shrirang Mahajan | Dentist | 14070 Commerce Ave Ne Ste 100, Prior Lake, MN 55372-1424 | 2006-10-12 |
| 1134119266 | Ronald Marvin Bliss | Dentist | 4792 Dakota St Se, Prior Lake, MN 55372-1883 | 2005-10-28 |
| 1720076169 | Michael C. Babcock | Dentist | 16670 Franklin Trl Se, Prior Lake, MN 55372-2924 | 2005-10-10 |
| 1548264898 | Karl M. Haemig | Dentist | 2330 Sioux Trl Nw, Prior Lake, MN 55372-9077 | 2005-06-01 |
| 1811489909 | Blake Belland | Dentist | 4667 Dakota St Se, Prior Lake, MN 55372-1714 | 2018-06-04 |
| 1790014777 | Olson Dental LLC | Dentist | 15870 Franklin Trl Se, Suite 200, Prior Lake, MN 55372-2092 | 2009-12-21 |
| 1881841021 | Northland Dental Partners Pllc | Dentist | 4670 Park Nicollet Ave Se, Prior Lake, MN 55372-4119 | 2008-08-19 |
| Find all providers in PRIOR LAKE | ||||
| City | PRIOR LAKE |
| Zip Code | 55372 |
Please comment or provide details below to improve the information on DR. CHARLES WALTER PUFFER.
| 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.