DENTAL SPECIALISTS OF MINNESOTA, PLLC (NPI# 1619382876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619382876 |
| Entity Type | Organization |
| Organization Name | DENTAL SPECIALISTS OF MINNESOTA, PLLC |
| Other Organization Name | THE DENTAL SPECIALISTS |
| Practice Address |
12180 Business Park Blvd N Champlin MN 55316-4525 |
| Mailing Address |
2200 County Road C W Ste 2210 Roseville MN 55113-2551 |
| Practice Telephone | 7634215206 |
| Practice Fax Number | 7634218320 |
| Mailing Telephone | 6516330500 |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | DR. ALAN LAW (PRESIDENT) |
| Authorized Official Telephone | 6516330500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| The Dental Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396095048 | Dental Specialists of Minnesota, Pllc | Dentist | 3360 Northdale Blvd., Coon Rapids, MN 55448-1825 | 2012-09-10 |
| 1922308113 | Dental Specialists of Minnesota, Pllc | Dentist | 12904 Central Ave. Ne, Blaine, MN 55434 | 2010-10-22 |
| 1508932344 | Dental Specialists of Minnesota, Pllc | Dentist | 40 W Nicollet Blvd, Burnsville, MN 55337-4524 | 2006-11-24 |
| 1780750539 | Dental Specialists of Minnesota, Pllc | Dentist | 1835 County Road C-west, Suite 200, Roseville, MN 55113-1343 | 2006-11-24 |
| 1003431263 | Dental Specialists of Minnesota, Pllc | Dentist | 14525 Highway 7 Ste 125, Minnetonka, MN 55345-3738 | 2020-06-13 |
| 1760013015 | Dental Specialists of Minnesota, Pllc | Dentist | 15015 Cimarron Ave, Rosemount, MN 55068-2771 | 2020-01-27 |
| 1851772362 | Dental Specialists of Minnesota, Pllc | Dentist | 2200 County Road C W, Suite 2210, Roseville, MN 55113-2550 | 2015-06-11 |
| 1558776716 | Dental Specialists of Minnesota, Pllc | Dentist | 1150 Hazeltine Blvd, Chaska, MN 55318-1004 | 2014-06-26 |
| 1710317417 | Dental Specialists of Minnesota, Pllc | Dentist | 11240 Stillwater Blvd N, Lake Elmo, MN 55042-9321 | 2013-11-15 |
| 1003245333 | Dental Specialists of Minnesota, Pllc | Dentist | 1109 Moore Lake Dr E, Fridley, MN 55432-5171 | 2013-11-07 |
| Street Address |
12180 BUSINESS PARK BLVD N |
| City | CHAMPLIN |
| State | MN |
| Zip Code | 55316-4525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841559143 | Stephen Hovda | Dentist | 12180 Business Park Blvd N, Champlin, MN 55316-4525 | 2012-05-08 |
| 1427416163 | Ashley Marie Verbick | Dentist | 12180 Business Park Blvd N, Champlin, MN 55316-4525 | 2016-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493903 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 11995 Business Park Blvd N, Champlin, MN 55316 | 2020-10-02 |
| 1598300675 | Dentalign, Pa | Dentist | 11942 Business Park Blvd, Champlin, MN 55316 | 2019-11-12 |
| 1811463573 | Vikings Home Health Care LLC | Meals | 11551 Georgia Ave, N, Champlin, MN 55316 | 2018-10-22 |
| 1255853305 | Matthew L Boelter | Hearing Instrument Specialist | 11451 Oregon Ave N, Champlin, MN 55316 | 2017-07-11 |
| 1194198309 | Champlin Dentistry, PC | Dentist | 11231 Aquila Drive N, Champlin, MN 55316 | 2015-11-10 |
| 1336557412 | Kelsey Voigt | Pharmacist | 11990 Business Park Blvd, Champlin, MN 55316 | 2014-08-01 |
| 1346502523 | Transitions Home Care Ltd | Home Health | 11030 Douglas Drive North, Champlin, MN 55316 | 2012-06-13 |
| 1639373285 | Michael D Smilanich | Dentist | 11231 Aquila Dr N, Champlin, MN 55316 | 2007-06-14 |
| 1760532907 | Kurt Allan Bender | Dentist | 500 A Jefferson Hwy, Champlin, MN 55316 | 2007-01-11 |
| 1366529752 | Gregory Allan Holmberg | Chiropractor | #8 3rd Street Nw, Osseo, MN 55316 | 2006-11-01 |
| Find all providers in zip 55316 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477025906 | Riverdale Kidds Pediatric Dentistry, Pllc | Dentist | 3585 124th Ave Nw Ste 400, Coon Rapids, MN 55433-1008 | 2018-12-21 |
| 1467924290 | Camp Smile Pediatric Dentistry Excelsior Pllc | Dentist | 675 Water St Ste 2, Excelsior, MN 55331-3072 | 2018-12-18 |
| 1932671765 | Camp Smile Pediatric Dentistry Chaska | Dentist | 111 Hundertmark Rd Ste 304n, Chaska, MN 55318-1587 | 2018-12-18 |
| 1538678057 | Blaine Kidds Pediatric Dentistry Pllc | Dentist | 1351 113th Ave Ne, Blaine, MN 55434-3874 | 2017-09-27 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1710367925 | Lindsay Bedeaux | Dentist | 7373 France Ave S Ste 400, Edina, MN 55435-4549 | 2015-06-02 |
| 1609272822 | Rochester Pediatric Dentistry LLC | Dentist | 1705 S Boradway Ave Ste B, Rochester, MN 55904-7960 | 2014-11-16 |
| 1396186813 | Central Minnesota Pediatric Dentists Pa | Dentist | 507 N Nokomis St Ste C, Alexandria, MN 56308-2353 | 2013-07-12 |
| 1265873707 | Central Minnesota Pediatric Dentists Pa | Dentist | 570 Humboldt Dr Ste 102, Big Lake, MN 55309-4844 | 2013-07-12 |
| 1013264621 | Northland Dental Partners | Dentist | 3507 Round Lake Blvd. Suite 900, Anoka, MN 55303 | 2012-08-14 |
| Find all providers with the same taxonomy | ||||
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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.