DR. JEFFREY NELSON HOLMBERG (NPI# 1811051436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811051436 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY NELSON HOLMBERG |
| Credential | DDS |
| Practice Address |
300 Park Street East Annandale MN 55302-0370 |
| Mailing Address |
300 Park Street East Po Box 370 Annandale MN 55302-0370 |
| Practice Telephone | 3202748555 |
| Practice Fax Number | 3202742851 |
| Mailing Telephone | 3202748555 |
| Mailing Fax Number | 3202742851 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8955 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659312379 | Jeffrey Edwards Holmberg | Emergency Medicine | 360 Amsden Ave, Versailles, KY 40383-1851 | 2006-06-10 |
| Street Address |
300 PARK STREET EAST |
| City | ANNANDALE |
| State | MN |
| Zip Code | 55302-0370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295100626 | Morris Dental Clinic, Pa | Dentist | 300 Park Street East, Annandale, MN 55302 | 2015-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831386275 | Central Minnesota Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 380 Annandale Blvd, Annandale, MN 55302 | 2007-10-01 |
| 1023236874 | Annandale Family and Sports Chiropractic | Chiropractor | 300 Park Street, Annandale, MN 55302 | 2007-04-24 |
| 1356409577 | Bruce Robert Karg | Dentist | 18 Oak Avenue North, Annandale, MN 55302 | 2006-12-04 |
| 1629148614 | Annandale Eye Clinic Inc | Optometrist | 500 Elm St E, Annandale, MN 55302 | 2006-11-08 |
| 1356431803 | Dawn Ramaley | Physician Assistant | 440 Elm Street, Annandale, MN 55302 | 2006-10-13 |
| 1225130487 | Community Behavioral Health Hospital-annandale | Psychiatric Hospital | 400 Annandale Blvd., Annandale, MN 55302 | 2006-09-01 |
| 1801848635 | Gwen A Stein | Psychiatry & Neurology | 400 Annandale Blvd, Annandale, MN 55302 | 2006-05-17 |
| 1487610440 | Christopher Paul Maier | Family Medicine | 440 Elm Street East, Annandale, MN 55302 | 2006-04-26 |
| 1689633653 | Jonathan Strohschein | Family Medicine | 440 Elm St. East, Annandale, MN 55302 | 2006-03-20 |
| 1720073695 | Mitchell Ralph Uecker | Chiropractor | 300 Park St E, Annandale, MN 55302 | 2005-09-15 |
| Find all providers in zip 55302 | ||||
| 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 |
|---|---|---|---|---|
| 1952961971 | Smile Concept Pllc | Dentist | 7857 Heritage Dr Ste 320, Annandale, VA 22003-5350 | 2019-06-20 |
| 1710378716 | Mobolaji Falaiye | Dentist | 7719 Rowan Ct, Annandale, VA 22003-5426 | 2015-02-11 |
| 1568875201 | Danny Vo | Dentist | 4305 Americana Dr, Apt #10, Annandale, VA 22003-4716 | 2014-06-10 |
| 1740547504 | Gopal S. Pal Dds. Ms | Dentist | 7540 Little River Turnpike, Suite A, Annandale, VA 22003 | 2012-04-18 |
| 1417225376 | Vu D Tran | Dentist | 6922 Little River Tpke, Suite #a, Annandale, VA 22003-3285 | 2011-12-07 |
| 1831408087 | Yen V, Le, D.d.s., P.C. | Dentist | 4216 Evergreen Ln Ste 113, Annandale, VA 22003-3253 | 2010-10-05 |
| 1659509453 | Andrew Loren Betaharon | Dentist | 8400 Kay Ct, Annandale, VA 22003-2206 | 2009-06-30 |
| 1003053984 | Eul-mo Kang | Dentist | 4540a John Marr Dr, Annandale, VA 22003 | 2009-01-14 |
| 1275703274 | Linh Thuy-do Tran | Dentist | 4200 Evergreen Ln, Suite 325, Annandale, VA 22003-3245 | 2008-03-05 |
| 1780865428 | Garden State Dental Group LLC | Dentist | 1 Hook Mountain Dr, Annandale, NJ 08801-2003 | 2007-11-23 |
| Find all providers in ANNANDALE | ||||
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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.