WYOMING FAMILY DENTAL (NPI# 1821696022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821696022 |
| Entity Type | Organization |
| Organization Name | WYOMING FAMILY DENTAL |
| Practice Address |
5378 East Viking Blvd. Wyoming MN 55092 |
| Mailing Address |
Po Box 189 Wyoming MN 55092 |
| Practice Telephone | 6514625150 |
| Mailing Telephone | 6514625150 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | JODY VEUGELER (OFFICER MANAGER) |
| Authorized Official Telephone | 6514625150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
5378 EAST VIKING BLVD. |
| City | WYOMING |
| State | MN |
| Zip Code | 55092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909436 | Matthew Rohlf | Dentist | 5378 E Viking Blvd, Wyoming, MN 55092 | 2020-07-20 |
| 1669013280 | Christina Marie Orde | Technician | 4855 261st Street, Wyoming, MN 55092 | 2019-10-04 |
| 1609425966 | Faith Bouttell | Technician | 25423 Heims Lake Circle, Wyoming, MN 55092 | 2019-09-10 |
| 1275875031 | Fairview Express Care | Clinic/Center | 5130 Fairview Blvd, Suite 101, Wyoming, MN 55092 | 2013-03-20 |
| 1023385242 | St. Croix Orthopaedics, P.a. | Durable Medical Equipment & Medical Supplies | 5200 Fairview Blvd., Wyoming, MN 55092 | 2011-11-17 |
| 1902851876 | Tamara Piroska Petrac-halatsis | Obstetrics & Gynecology | 5200 Fairview Boulevard, Ob/gyn Department, Wyoming, MN 55092 | 2006-05-22 |
| 1023502697 | Molly Levy | Nurse Practitioner | 5200 Fairview Blvd, Wyoming, MN 55092 | 2018-06-18 |
| 1588028955 | Kevin Anthony Brueske | Pediatrics | 5200 Fairview Blvd, Wyoming, MN 55092 | 2016-04-11 |
| 1376922070 | Carli Lynn Ceder | Physical Therapist | 5130 Fairview Blvd, Wyoming, MN 55092 | 2015-05-27 |
| 1497192066 | Matthew David Torgeson | Surgery | 5200 Fairview Blvd, Wyoming, MN 55092 | 2013-05-22 |
| Find all providers in zip 55092 | ||||
| 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 |
|---|---|---|---|---|
| 1174185490 | Michael Kroeze | Dentist | 5675 Burlingame Ave Sw Ste C, Wyoming, MI 49509-9706 | 2019-07-08 |
| 1609364009 | Alexandra K Hylen | Dentist | 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 | 2018-05-01 |
| 1851815450 | First Fruits Dental, PC | Dentist | 1621 44th St Sw Ste 200, Wyoming, MI 49509-4387 | 2017-07-26 |
| 1013363761 | Byron Center Family Dental Pllc | Dentist | 4489 Byron Center Ave Sw, Suite A, Wyoming, MI 49519-4804 | 2016-05-12 |
| 1366882755 | Kevin Timothy Solt | Dentist | 1535 44th St Sw Ste 200, Wyoming, MI 49509 | 2013-06-28 |
| 1982960894 | D2 Dental of Michigan | Dentist | 1124 28th St Sw, Suite 38a, Wyoming, MI 49509-2855 | 2012-04-04 |
| 1427291343 | Todd R Vandermeer | Dentist | 1869 Porter St Sw, Wyoming, MI 49519-1709 | 2009-04-07 |
| 1659574721 | Jason Alan Dew | Dentist | 900 52nd St Sw, Wyoming, MI 49509-9725 | 2007-06-07 |
| 1194937821 | Chad Edward Loween | Dentist | 5305 E Viking Blvd, Wyoming, MN 55092-8014 | 2007-05-04 |
| 1043342942 | James J. Hur | Dentist | 1402 36th St Sw, Wyoming, MI 49509-3407 | 2007-03-09 |
| Find all providers in WYOMING | ||||
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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.