MRS. JULIE WALLACE (NPI# 1811068778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811068778 |
| Entity Type | Individual |
| Full Name | MRS. JULIE WALLACE |
| Credential | DDS |
| Practice Address |
303 Main Street Elk River MN 55330 |
| Practice Telephone | 7634419181 |
| Practice Fax Number | 7634413399 |
| Mailing Telephone | 7634419181 |
| Mailing Fax Number | 7634413399 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D11036 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083884258 | Julie B Wallace | Massage Therapist | 4340 E Kentucky Ave Ste 446, Glendale, CO 80246-2078 | 2008-03-04 |
| 1871592329 | Julie A Wallace | Family Medicine | 4444 Arlington Rd, Uniontown, OH 44685-9508 | 2005-07-18 |
| 1245755156 | Julie Wallace | Dietitian, Registered | 10 Glenlake Pkwy Ste 130, Atlanta, GA 30328-3495 | 2017-08-11 |
| 1003249855 | Julie Gilman Wallace | Physical Therapist | 1601 E 19th Ave, Denver, CO 80218-1216 | 2013-08-15 |
| 1255681839 | Julie Schroeder Wallace | Psychologist | 4334 Nw Expressway, Suite 102, Oklahoma City, OK 73116-1515 | 2012-09-11 |
| 1164672838 | Julie Ann Wallace | Nurse Practitioner | 2359 Springs Rd Ne, Hickory, NC 28601-3067 | 2008-09-30 |
| 1417056524 | Julie Bourne Wallace | Speech-Language Pathologist | 2620 Wilhite Dr, Suite 222, Lexington, KY 40503-3385 | 2006-09-22 |
| 1275562753 | Julie M Wallace | Physical Therapist | 510 Towne Dr, Suite 100, Fayetteville, NY 13066-1331 | 2006-06-30 |
| Street Address |
303 MAIN STREET |
| City | ELK RIVER |
| State | MN |
| Zip Code | 55330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245303254 | Elk River Family Dentistry | Dentist | 303 Main Street, Elk River, MN 55330 | 2006-11-16 |
| 1912078874 | Lori Linn-orn | Dentist | 303 Main Street, Elk River, MN 55330 | 2006-11-13 |
| 1982775839 | David James Truchon | Dentist | 303 Main Street, Elk River, MN 55330 | 2006-11-13 |
| 1831272277 | Allison Elaine Ilstrup | Dentist | 303 Main Street, Elk River, MN 55330 | 2006-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504139 | Jacob Stevens | Pharmacist | 19216 Freeport Ave, Cub Pharmacy, Elk River, MN 55330 | 2020-07-01 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1346888609 | Katie Eberley | Counselor | 9425 Quantrelle Ave, Otsego, MN 55330 | 2019-12-18 |
| 1649839986 | Jodi Marie Pikula | Massage Therapist | 710 Dodge Ave, Suite C, Elk River, MN 55330 | 2019-06-11 |
| 1144793878 | Northern Cities Therapy, Inc. | Counselor | 19230 Evans St Nw Ste 100, Elk River, MN 55330 | 2019-01-04 |
| 1144715236 | Jennifer Kay Dahlseid | Chiropractor | 200 5th St Nw Ste J, Elk River, MN 55330 | 2018-06-29 |
| 1124542089 | Megan Majsterski Lazere | Counselor | 9245 Quantrelle Avenue, Otsego, MN 55330 | 2017-08-01 |
| 1134674237 | Rescare Minnesota | Community Based Residential Treatment Facility, Mental Illness | 633 Upland Ave Nw, Elk River, MN 55330 | 2016-08-18 |
| 1356894927 | Allison Benz | Counselor | 9245 Quantrelle Ave, Otsego, MN 55330 | 2016-07-29 |
| 1447615141 | Laura Stevenson | Speech-Language Pathologist | 15990 90th St., Otsego, MN 55330 | 2015-12-22 |
| Find all providers in zip 55330 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851658280 | Jennifer Elizabeth Nelson | Dentist | 18223 Carson Ct Nw, Elk River, MN 55330-2733 | 2012-04-23 |
| 1831456789 | Brady Michael Andvik | Dentist | 303 Main St Nw, Elk River, MN 55330-1531 | 2012-04-17 |
| 1235284472 | Jeffrey Mark Jarmoluk | Dentist | 822 Main St Nw, Elk River, MN 55330-1696 | 2007-01-25 |
| 1922065416 | Thomas Luke Bashaw | Dentist | 710 Dodge Ave Nw, Suite B, Elk River, MN 55330-2019 | 2006-04-27 |
| 1801343876 | Nevin Vance Blahnik | Dentist | 18223 Carson Ct Nw, Elk River, MN 55330-2733 | 2016-09-07 |
| 1114247830 | Kyle John Skjei | Dentist | 501 Main St Nw, Suite 103, Elk River, MN 55330-1880 | 2010-06-03 |
| 1245303254 | Elk River Family Dentistry | Dentist | 303 Main Street, Elk River, MN 55330 | 2006-11-16 |
| 1912078874 | Lori Linn-orn | Dentist | 303 Main Street, Elk River, MN 55330 | 2006-11-13 |
| 1982775839 | David James Truchon | Dentist | 303 Main Street, Elk River, MN 55330 | 2006-11-13 |
| 1407927353 | Jerome Raymond Nyberg | Dentist | 303 Main St, Elk River, MN 55330 | 2006-11-13 |
| Find all providers in ELK RIVER | ||||
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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.