FAMILY ORAL SURGERY SPECIALISTS PLC (NPI# 1598865651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598865651 |
Entity Type | Organization |
Organization Name | FAMILY ORAL SURGERY SPECIALISTS PLC |
Practice Address |
6601 Lyndale Ave S Suite 220 Richfield MN 55423-2477 |
Practice Telephone | 6128619123 |
Enumeration Date | 2006-09-25 |
Last Update Date | 2020-08-22 |
Authorized Official Name | KRIS PALMER (CREDENTIALING SPECIALIST) |
Authorized Official Telephone | 6128619109 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
Dental Providers |
Street Address |
6601 LYNDALE AVE S SUITE 220 |
City | RICHFIELD |
State | MN |
Zip Code | 55423-2477 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336114644 | Joseph Shaun Hicken | Dentist | 6601 Lyndale Ave S, Suite 240, Richfield, MN 55423-2477 | 2006-02-21 |
1891336863 | Jesse Elaine Olson | Nurse Practitioner | 6601 Lyndale Ave S, Richfield, MN 55423-2477 | 2019-10-01 |
1134637457 | Downtown Eyes Crosstown Pllc | Ophthalmology | 6601 Lyndale Ave S, Richfield, MN 55423-2477 | 2018-01-22 |
1083083323 | Micah Chan | Dentist | 6601 Lyndale Ave S, Richfield, MN 55423-2477 | 2015-09-16 |
1356724975 | Benjamin David Larson | Dentist | 6601 Lyndale Ave S, Richfield, MN 55423-2477 | 2015-07-01 |
1689076432 | Laura Richardson | Physical Therapist | 6601 Lyndale Ave S, #105, Richfield, MN 55423 | 2014-09-24 |
1962785881 | Mary C Nolan | Nurse Practitioner | 6601 Lyndale Ave S, Suite 220, Richfield, MN 55423-2477 | 2011-09-27 |
1558689778 | Andrew Esten | Internal Medicine | 6601 Lyndale Ave S, Suite 220, Richfield, MN 55423-2477 | 2010-05-12 |
1003043175 | Rebecca Leigh Benson | Dentist | 6601 Lyndale Ave S, Richfield, MN 55423-2477 | 2009-06-16 |
1639356785 | Jan Mari Young | Physical Therapy Assistant | 6601 Lyndale Ave S, 105, Richfield, MN 55423-2477 | 2008-01-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841844081 | Ann Niebuhr | Counselor | 6417 Penn Ave S Ste 8 #2, Minneapolis, MN 55423 | 2019-07-25 |
1073021077 | Alton John Olson | Surgery | 7008 - Morgan Avenue South, Richfield, MN 55423 | 2018-01-12 |
1992238190 | Certified Care Planner LLC | Home Health | 1515 E 66th Street Suite 105, Richfield, MN 55423 | 2017-04-05 |
1245780121 | Rachel Lauren Marston | Audiologist | 7745 2nd Ave S., Suite 1, Richfield, MN 55423 | 2016-10-04 |
1023564093 | Justine Welch Mastin | Counselor | 6640 Lyndale Ave S Ste 110, Minneapolis, MN 55423 | 2016-08-30 |
1215480942 | Smart Choice Mri, LLC | Clinic/Center | 1704 E 66th St, Minneapolis, MN 55423 | 2016-07-29 |
1225425531 | Maria Lourdes Nolasco De Leon | Registered Nurse | 6511 12th Ave. S, Richfield, MN 55423 | 2015-04-24 |
1508261926 | Ally Medical Supply | Durable Medical Equipment & Medical Supplies | 6238 Lyndale Ave South, Suite # 2, Richfield, MN 55423 | 2014-10-28 |
1811230097 | Barb Rose Olson | Registered Nurse | 6461 Lyndale Ave. So, Richfield, MN 55423 | 2013-04-05 |
1902149404 | Nina Kae Hanevik | Registered Nurse | 6461 Lyndale Ave So, Richfield, MN 55423 | 2013-04-03 |
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Taxonomy Code | 1223P0106X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Pathology |
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609844760 | Daniel Joseph Gatto | Dentist | 9950 Valley Creek Rd, Woodbury, MN 55125-4883 | 2006-03-14 |
1194702647 | James Immanuel Midtling | Dentist | 155 Wabasha St S, Suite #111, Saint Paul, MN 55107-1801 | 2005-12-27 |
1891786224 | Thomas Maurice Keane Jr. | Dentist | 8900 Penn Ave So., Suite 211, Bloomington, MN 55431 | 2005-11-03 |
1669461554 | James Barthel | Dentist | 925 Highway 55, Ste 202, Hastings, MN 55033-3734 | 2005-10-14 |
1912996802 | Michael Downie | Dentist | 8480 Woodbury Xing Ste 120, Woodbury, MN 55125-9406 | 2005-10-14 |
1801881370 | Abdollah Rahimi | Dentist | 15600 36th Ave N, Suite 100, Plymouth, MN 55446-3369 | 2005-09-12 |
1992703987 | James P Hughes | Dentist | 50 W 2nd St, Suite 201, Winona, MN 55987-3440 | 2005-07-13 |
1780855171 | Esthesia Oral Surgery Care, Pa | Dentist | 3400 W 66th St, Suite 270, Edina, MN 55435-2111 | 2008-03-13 |
1821185844 | Anupama Grandhi | Dentist | 1720 Highway 59 S, Thief River Falls, MN 56701-4331 | 2006-10-10 |
1588767461 | Gregory Warren Hueler | Dentist | 13875 Hwy 13 Frontage Rd, Suite 50, Savage, MN 55378 | 2006-09-06 |
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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.