TWIN CITIES ORAL & MAXILLOFACIAL SURGERY PA (NPI# 1821299041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821299041 |
Entity Type | Organization |
Organization Name | TWIN CITIES ORAL & MAXILLOFACIAL SURGERY PA |
Practice Address |
14635 Pennock Ave #250 Apple Valley MN 55124-6430 |
Mailing Address |
925 Highway 55 Ste 202 Hastings MN 55033-3734 |
Practice Telephone | 9524321514 |
Mailing Telephone | 6514373262 |
Enumeration Date | 2007-05-29 |
Last Update Date | 2020-08-22 |
Authorized Official Name | SHIRLEY HERDING (OFFICE MANAGER) |
Authorized Official Telephone | 9524321514 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
Ambulatory Health Care Facilities |
Street Address |
14635 PENNOCK AVE #250 |
City | APPLE VALLEY |
State | MN |
Zip Code | 55124-6430 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104865179 | Ameli Chiropractic Clinic P.a. | Chiropractor | 14635 Pennock Ave, Suite 200, Apple Valley, MN 55124-6430 | 2006-06-05 |
1902344757 | Alexandra Johnson | Chiropractor | 14635 Pennock Ave, 200, Apple Valley, MN 55124-6430 | 2017-02-01 |
1902239825 | Katherine Sebastian | Specialist | 14635 Pennock Ave, Suite #300, Apple Valley, MN 55124-6430 | 2013-08-14 |
1306080890 | Jaclyn Ashley Hillstrom | Occupational Therapist | 14635 Pennock Ave, Suite 300, Apple Valley, MN 55124-6430 | 2009-04-28 |
1689869604 | Traci Friede | Occupational Therapist | 14635 Pennock Ave, Suite #300, Apple Valley, MN 55124-6430 | 2007-09-12 |
1578607586 | Rachel Tressel | Physical Therapist | 14635 Pennock Ave, Suite 300, Apple Valley, MN 55124-6430 | 2007-02-16 |
1346384336 | Christine Spray | Occupational Therapist | 14635 Pennock Ave, Suite 300, Apple Valley, MN 55124-6430 | 2007-02-16 |
1982747127 | Kerry Oliver | Occupational Therapist | 14635 Pennock Ave, Suite 300, Apple Valley, MN 55124-6430 | 2007-02-15 |
1679616734 | Deborah Ruskell | Speech-Language Pathologist | 14635 Pennock Ave, Suite 300, Apple Valley, MN 55124-6430 | 2007-02-15 |
1952444101 | Aimee Peterson | Occupational Therapist | 14635 Pennock Ave, Suite 300, Apple Valley, MN 55124-6430 | 2007-02-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518574672 | Carol Susan Elstad | Counselor | Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 | 2020-09-23 |
1629612569 | Gadaa Care Transportation | Non-emergency Medical Transport (VAN) | 7296 157th St W, Apple Valley, MN 55124 | 2019-11-04 |
1356831515 | Dustin W Seabolt | Hearing Instrument Specialist | 15071 Dunwood Trl, Apple Valley, MN 55124 | 2018-05-14 |
1639687189 | Dentalign P.a. | Clinic/Center | 15875 Emperor Avenue, Apple Valley, MN 55124 | 2018-01-18 |
1982126926 | Apex Family Chiropractic LLC | Chiropractor | 15678 Pilot Knob Road, Suite 120, Apple Valley, MN 55124 | 2017-07-12 |
1821523028 | Robin Marie Parker | Nurse Practitioner | 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 | 2017-04-25 |
1134578826 | Ellen Denise Jacobson | Dentist | 14682 Pennock Avenue South, Apple Valley, MN 55124 | 2016-06-03 |
1831568708 | Clearriver Inc. | Home Health | 13790 Elkhart Rd, Apple Valley, MN 55124 | 2015-09-21 |
1265826879 | Next Level Fitness Co | Public Health or Welfare | 14645 Felton Ct, 104, Apple Valley, MN 55124 | 2015-03-20 |
1568872216 | Jon Butala | Marriage & Family Therapist | 4300 W 147th St., Suite 204, Apple Valley, MN 55124 | 2014-05-04 |
Find all providers in zip 55124 |
Taxonomy Code | 261QS0112X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164763629 | Regents of The University of Minnesota | Clinic/Center | 515 Delaware St Se, 7th Floor Moos Tower, Minneapolis, MN 55455-0357 | 2013-03-08 |
1699901140 | Northern Star Oral and Maxillofacial Surgery Pllc | Clinic/Center | 5100 Gamble Dr, Suite 125, St Louis Park, MN 55416-1585 | 2009-06-10 |
1447429402 | Regents of The University of Minnesota | Clinic/Center | 515 Delaware St Se, 7th Floor Moos Tower, Minneapolis, MN 55455-0357 | 2008-02-25 |
1427237551 | Midtling Oral & Maxillofacial Surgery, Pa | Clinic/Center | 155 Wabasha St S, Suite 111, Saint Paul, MN 55107-1801 | 2007-10-25 |
1770776312 | Southeastern Minnesota Oral & Maxillofacial Surgery Associates | Clinic/Center | 3632 10th Ln Nw, Rochester, MN 55901-7032 | 2007-08-27 |
1902099559 | Southeastern Minnesota Oral & Maxillofacial Surgery Associates | Clinic/Center | 2835 S Service Dr, Red Wing, MN 55066-1882 | 2007-08-27 |
1104019744 | Southeastern Minnesota Oral & Maxillofacial Surgery Associates | Clinic/Center | 605 W Oakland Ave, Austin, MN 55912-2317 | 2007-08-27 |
1144413782 | Southeastern Minnesota Oral & Maxillofacial Surgery Associates | Clinic/Center | 304 Belle Ave, Mankato, MN 56001-5250 | 2007-08-27 |
1356542575 | Twin Cities Oral & Maxillofacial Surgery, Pa | Clinic/Center | 1655 Beam Ave, Ste 208, Maplewood, MN 55109-1163 | 2007-05-29 |
1154522373 | Twin Cities Oral & Maxillofaical Surgery Pa | Clinic/Center | 1790 Lexington Ave N, Roseville, MN 55113-6167 | 2007-05-29 |
Find all providers with the same taxonomy |
City | APPLE VALLEY |
Zip Code | 55124 |
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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.