BURNSVILLE DENTAL, P.A. (NPI# 1891079851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891079851 |
| Entity Type | Organization |
| Organization Name | BURNSVILLE DENTAL, P.A. |
| Other Organization Name | NORTHSTAR DENTAL CLINIC |
| Practice Address |
675 E Nicollet Blvd Ste 120 Burnsville MN 55337-6748 |
| Practice Telephone | 9528927700 |
| Mailing Telephone | 9528927700 |
| Mailing Fax Number | 9528927767 |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2011-10-07 |
| Authorized Official Name | ISABELLA CONSTANTIN (BUSINESS MANAGER) |
| Authorized Official Telephone | 9528927700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
D12917 | MN | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
10615 | MN | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D11856 | MN | Dental Providers |
| Other Name | Type Code |
|---|---|
| Northstar Dental Clinic | Doing Business As Name - Organization |
| Street Address |
675 E NICOLLET BLVD STE 120 |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-6748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818560 | Orthodontic Specialists of Minnesota, P.l.l.c. | Dentist | 675 E Nicollet Blvd Ste 120, Burnsville, MN 55337-6748 | 2019-09-03 |
| 1831747872 | The Dental Specialists of Minnesota, Pllc | Dentist | 675 E Nicollet Blvd Ste 120, Burnsville, MN 55337-6748 | 2019-09-03 |
| 1821498858 | Sarah L Carlson Dds Pa | Dentist | 675 E Nicollet Blvd Ste 120, Burnsville, MN 55337-6748 | 2014-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| 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 |
|---|---|---|---|---|
| 1902440639 | J Alan Ray, Dds-pa | Dentist | 131 East Main Court, Suite A, Burnsville, NC 28714-2871 | 2019-11-06 |
| 1447819842 | Bryant Greene | Dentist | 131 E Main St Ste A, Burnsville, NC 28714-2968 | 2019-06-10 |
| 1386029106 | Kyle Duncan | Dentist | 534 East Bypass, Burnsville, NC 28714 | 2015-07-22 |
| 1396071197 | John F. Renfro, Dds, Pa | Dentist | 534 E Us Highway 19 E Byp, Burnsville, NC 28714-7202 | 2009-10-29 |
| 1063533560 | James Alan Ray | Dentist | 131 East Main Court, Suite A, Burnsville, NC 28714 | 2007-04-02 |
| 1871632331 | Ridge Point Dental Clinic, P.a. | Dentist | 14050 Nicollet Ave So, Suite 205, Burnsville, MN 55337-5710 | 2007-02-05 |
| 1962558692 | John Farrell Renfro | Dentist | 584 Spicewood Rd, Burnsville, NC 28714-6058 | 2007-01-26 |
| 1144389636 | Kristin Ann Nelson | Dentist | 50 W Nicollet Blvd, Burnsville, MN 55337-4524 | 2006-12-08 |
| 1477626646 | Dwight G Buller Dds Pa | Dentist | 101 W Burnsville Parkway, Suite 222, Burnsville, MN 55337-2572 | 2006-11-16 |
| 1508936634 | Jeffrey J Price | Dentist | 50 Mcandrews Rd E, Burnsville, MN 55337-5718 | 2006-11-08 |
| Find all providers in BURNSVILLE | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
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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.