DAVID PAULSON (NPI# 1598119273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598119273 |
| Entity Type | Individual |
| Full Name | DAVID PAULSON |
| Credential | D.D.S. |
| Practice Address |
2036 Robert St S West St Paul MN 55118-3923 |
| Mailing Address |
51296 Valley View Ct Osseo WI 54758-7772 |
| Practice Telephone | 6516334216 |
| Mailing Telephone | 7154950554 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2019-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | D13705 | MN | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
D13705 | MN | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 515 Delaware St Se, 7-360, Minneapolis, MN 554550357 | 7154950554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073771481 | David P Paulson | Neurological Surgery | 4100 Lake Otis Parkway Suite 320, Anchorage, AK 99508 | 2008-06-02 |
| 1912026519 | David Merlin Paulson | Physician Assistant | 350 Pinestate St, Lillington, NC 27546 | 2007-03-28 |
| 1699802009 | David Paulson | Urology | Dumc 3707, Durham, NC 27710-0001 | 2007-02-27 |
| 1033294384 | David Meade Paulson | Dentist | 1900 Tamiami Tr, Suite A, Punta Gorda, FL 33950 | 2006-10-26 |
| 1740240209 | David Alan Paulson | Psychologist | 1590-01 Constitution Boulvard, Rock Hill, CA 29732 | 2006-03-27 |
| 1154312130 | David Alan Paulson | Internal Medicine | Minnesota Deparrtment of Corrections, 1450 Energy Park Drive, St. Paul, MN 55108 | 2005-10-31 |
| 1740252196 | David L Paulson | Psychiatry & Neurology | 361 E 1200 S, Suite 201, Orem, UT 84058-6904 | 2006-02-01 |
| Street Address |
2036 ROBERT ST S |
| City | WEST ST PAUL |
| State | MN |
| Zip Code | 55118-3923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730560483 | Sean Geary | Dentist | 2036 Robert St S, West St Paul, MN 55118 | 2015-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033764428 | Able Solutions LLC | Day Training, Developmentally Disabled Services | 260 E Wentworth Ave Suite 112, St Paul, MN 55118 | 2019-08-03 |
| 1861059974 | Tanya F Langford | Massage Therapist | 3627 Cedar Ave No., 1166 S Robert St. St. Paul West, St. Paul, MN 55118 | 2019-05-23 |
| 1396210779 | Southview Operations LLC | Skilled Nursing Facility | 2000 Oakdale Avenue, West St. Paul, MN 55118 | 2018-10-11 |
| 1538643424 | Marcus James Rohrbauck | Social Worker | 1312-1314 Livingston Avenue, West St. Paul, MN 55118 | 2018-09-18 |
| 1609394287 | Eric Graham Dorr | Pharmacist | 149 Thompson Ave East, Suite 150, West Saint Paul, MN 55118 | 2017-09-05 |
| 1518485242 | Meaghan Claire Puckett | Marriage & Family Therapist | 33 Wentworth Ave E Ste 210, West St Paul, MN 55118 | 2017-09-01 |
| 1174078307 | Michal Frank | Counselor | 240 Dakota St, West Saint Paul, MN 55118 | 2016-08-17 |
| 1184011868 | Rachel Devries | Pediatrics | 1880 Livingston Ave Ste 102, West St Paul, MN 55118 | 2015-04-21 |
| 1124411772 | Ahmed Salad Associates | Dentist | 1200 S Robert St, Suite C, St Paul, MN 55118 | 2015-03-06 |
| 1225458458 | Shellea J Altman | Dentist | 576 High Ridge Circle, Mendota Heights, MN 55118 | 2014-04-28 |
| Find all providers in zip 55118 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316400591 | Shorouk Elnagdy | Dentist | 515 Delaware St Se # 7-368, Minneapolis, MN 55455-0357 | 2019-04-13 |
| 1508300252 | Minnesota Periodontal Associates, Pa | Dentist | 4801 Hwy 61 N., Suite 300, White Bear Lake, MN 55110-2753 | 2016-12-15 |
| 1164978672 | Benjamin Halpern | Dentist | 14344 Burnhaven Drive, Burnsville, MN 55306 | 2016-08-26 |
| 1356684419 | Shahir Nehad Abdel-malek | Dentist | 3555 Louisiana Ave S, Saint Louis Park, MN 55426-4121 | 2013-03-27 |
| 1386901858 | Jeanne L Barss | Dentist | 2550 University Ave W Ste 189s, Saint Paul, MN 55114-2001 | 2012-04-20 |
| 1205129012 | Jerod Thomas Klava | Dentist | 6545 France Ave. So., Suite 190, Edina, MN 55435 | 2011-05-26 |
| 1861784050 | Elham Akhlaghi | Dentist | 515 Delaware Street, Minneapolis, MN 55455 | 2011-05-06 |
| 1013216811 | Minneapolis-st. Paul Periodontics | Dentist | 1109 East Moore Lake Drive, Fridley, MN 55432 | 2011-03-18 |
| 1558516369 | Mdo Periodontics Pa | Dentist | 1900 Kruchten Ct S, Ste. 101, Sartell, MN 56377-4730 | 2008-11-20 |
| 1972770006 | Ying-lien Wu | Dentist | 150 S 5th St Ste 1475, Minneapolis, MN 55402-4212 | 2008-05-08 |
| Find all providers with the same taxonomy | ||||
| City | WEST ST PAUL |
| Zip Code | 55118 |
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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.