CAMP SMILE PEDIATRIC DENTISTRY CHASKA


Address: 111 Hundertmark Rd Ste 304n, Chaska, MN 55318-1587
Phone: 7633831788

CAMP SMILE PEDIATRIC DENTISTRY CHASKA (NPI# 1932671765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932671765
Entity Type Organization
Organization Name CAMP SMILE PEDIATRIC DENTISTRY CHASKA
Practice Address 111 Hundertmark Rd Ste 304n
Chaska
MN 55318-1587
Practice Telephone 7633831788
Mailing Telephone 7633831788
Enumeration Date 2018-12-18
Last Update Date 2018-12-18
Authorized Official Name DR. BOBBI L AUGUSTYN (OWNER)
Authorized Official Telephone 7633831788
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers

Other Provider/Organization Names

Other Name Type Code
Camp Smile Pediatric Dentistry Doing Business As Name - Organization

Office Location

Street Address 111 HUNDERTMARK RD STE 304N
City CHASKA
State MN
Zip Code 55318-1587

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548742968 Elizabeth Ann Root Counselor 111 Hundertmark Rd Suite 450, Chaska, MN 55318 2018-09-01
1972002244 Ruth Ann Plante Counselor 510 Chestnut Street Suite 201, Chaska, MN 55318 2018-02-01
1265959795 Bhatti Gi Surgery Center LLC Clinic/Center 1447 White Oak Dr, Chaska, MN 55318 2017-08-25
1194241166 Five Stars Recovery Center Clinical Medical Laboratory 1045 Stoughton Ave., Chaska, MN 55318 2017-08-21
1306383419 Laurie Ann Sisser Registered Nurse 123 W. 3rd Street, Suite #1, Forever Life Home Health Care, Chaska, MN 55318 2017-01-26
1942756671 David Erlandson Physical Therapist 110105 Pioneer Trail, #201, Chaska, MN 55318 2016-09-01
1912319286 Chaska Commons Dental Group PC Dentist 114 Pioneer Trail, Chaska, MN 55318 2014-05-21
1063546620 Laura Lee Bergjord Social Worker 600 East 4th St, Chaska, MN 55318 2007-03-15
1184758740 Jennifer Ann Mueller Social Worker 401 East Fourth Street, Chaska, MN 55318 2007-03-15
1487785234 The Salvation Army Harbor Light Center Beacon Program Substance Abuse Rehabilitation Facility 11065 Village Road, Chaska, MN 55318 2007-03-07
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558776716 Dental Specialists of Minnesota, Pllc Dentist 1150 Hazeltine Blvd, Chaska, MN 55318-1004 2014-06-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477025906 Riverdale Kidds Pediatric Dentistry, Pllc Dentist 3585 124th Ave Nw Ste 400, Coon Rapids, MN 55433-1008 2018-12-21
1467924290 Camp Smile Pediatric Dentistry Excelsior Pllc Dentist 675 Water St Ste 2, Excelsior, MN 55331-3072 2018-12-18
1538678057 Blaine Kidds Pediatric Dentistry Pllc Dentist 1351 113th Ave Ne, Blaine, MN 55434-3874 2017-09-27
1760918239 David James Knight Dentist 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 2017-05-03
1710367925 Lindsay Bedeaux Dentist 7373 France Ave S Ste 400, Edina, MN 55435-4549 2015-06-02
1609272822 Rochester Pediatric Dentistry LLC Dentist 1705 S Boradway Ave Ste B, Rochester, MN 55904-7960 2014-11-16
1396186813 Central Minnesota Pediatric Dentists Pa Dentist 507 N Nokomis St Ste C, Alexandria, MN 56308-2353 2013-07-12
1265873707 Central Minnesota Pediatric Dentists Pa Dentist 570 Humboldt Dr Ste 102, Big Lake, MN 55309-4844 2013-07-12
1013264621 Northland Dental Partners Dentist 3507 Round Lake Blvd. Suite 900, Anoka, MN 55303 2012-08-14
1407131618 St. Croix Kidds Pediatric Dentistry Dentist 4951 Morehead Ave, White Bear Lake, MN 55110-2633 2011-10-19
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Competitor

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City CHASKA
Zip Code 55318

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Dataset Information

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.

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