DENTAL SPECIALISTS OF MINNESOTA, PLLC (NPI# 1952618464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952618464 |
| Entity Type | Organization |
| Organization Name | DENTAL SPECIALISTS OF MINNESOTA, PLLC |
| Other Organization Name | THE DENTAL SPECIALISTS |
| Practice Address |
1515 Saint Francis Ave Suite 145 Shakopee MN 55379-3387 |
| Mailing Address |
2200 County Road C W Suite 2210 Roseville MN 55113-2550 |
| Practice Telephone | 9529263892 |
| Mailing Telephone | 6516330500 |
| Mailing Fax Number | 6516366350 |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | DR. ALAN S LAW (PRESIDENT) |
| Authorized Official Telephone | 6516330500 |
| Authorized Official Credential | DDS, PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| The Dental Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396095048 | Dental Specialists of Minnesota, Pllc | Dentist | 3360 Northdale Blvd., Coon Rapids, MN 55448-1825 | 2012-09-10 |
| 1922308113 | Dental Specialists of Minnesota, Pllc | Dentist | 12904 Central Ave. Ne, Blaine, MN 55434 | 2010-10-22 |
| 1508932344 | Dental Specialists of Minnesota, Pllc | Dentist | 40 W Nicollet Blvd, Burnsville, MN 55337-4524 | 2006-11-24 |
| 1780750539 | Dental Specialists of Minnesota, Pllc | Dentist | 1835 County Road C-west, Suite 200, Roseville, MN 55113-1343 | 2006-11-24 |
| 1003431263 | Dental Specialists of Minnesota, Pllc | Dentist | 14525 Highway 7 Ste 125, Minnetonka, MN 55345-3738 | 2020-06-13 |
| 1760013015 | Dental Specialists of Minnesota, Pllc | Dentist | 15015 Cimarron Ave, Rosemount, MN 55068-2771 | 2020-01-27 |
| 1851772362 | Dental Specialists of Minnesota, Pllc | Dentist | 2200 County Road C W, Suite 2210, Roseville, MN 55113-2550 | 2015-06-11 |
| 1619382876 | Dental Specialists of Minnesota, Pllc | Dentist | 12180 Business Park Blvd N, Champlin, MN 55316-4525 | 2014-06-26 |
| 1558776716 | Dental Specialists of Minnesota, Pllc | Dentist | 1150 Hazeltine Blvd, Chaska, MN 55318-1004 | 2014-06-26 |
| 1710317417 | Dental Specialists of Minnesota, Pllc | Dentist | 11240 Stillwater Blvd N, Lake Elmo, MN 55042-9321 | 2013-11-15 |
| Street Address |
1515 SAINT FRANCIS AVE SUITE 145 |
| City | SHAKOPEE |
| State | MN |
| Zip Code | 55379-3387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467432716 | Michael Jon Walker | Surgery | 1515 Saint Francis Ave, #100, Shakopee, MN 55379-3387 | 2006-01-20 |
| 1295101178 | Autumn Lani Brown Lovas | Advanced Practice Midwife | 1515 Saint Francis Ave, Shakopee, MN 55379-3387 | 2015-08-14 |
| 1073837134 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 1515 Saint Francis Ave, Shakopee, MN 55379-3387 | 2010-03-18 |
| 1154500718 | Heidi Jo Whipple Ohlmann | Physical Therapist | 1515 Saint Francis Ave, Shakopee, MN 55379-3387 | 2007-10-31 |
| 1447444666 | Edwin Ndemo Bogonko | Internal Medicine | 1515 Saint Francis Ave, Suite # 100, Shakopee, MN 55379-3387 | 2007-08-30 |
| 1346433083 | Sarah Marie Vonbank | Physical Therapist | 1515 Saint Francis Ave, Suite 140, Shakopee, MN 55379-3387 | 2007-08-27 |
| 1700079365 | Valley Rehabilitation Services | Clinic/Center | 1515 Saint Francis Ave, Shakopee, MN 55379-3387 | 2007-08-27 |
| 1215146550 | Jodi Lynn Winters | Physician Assistant | 1515 Saint Francis Ave, Suite 100, Shakopee, MN 55379-3387 | 2007-05-22 |
| 1952517930 | Roselee Waller Wondra | Physical Therapist | 1515 Saint Francis Ave, Suite 140, Shakopee, MN 55379-3387 | 2007-05-15 |
| 1902951403 | Debbie M Kalish | Occupational Therapist | 1515 Saint Francis Ave, Suite 140, Shakopee, MN 55379-3387 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1154988236 | Benedictine Living Community of Shakopee LLC | Assisted Living Facility | 1705 Windermere Way, Shakopee, MN 55379 | 2019-05-23 |
| 1346741394 | Expressions In Motion LLC | Speech-Language Pathologist | 1221 East 4th Ave., Shakopee, MN 55379 | 2018-02-26 |
| 1124529334 | A.m Dental Professionals P.a | Clinic/Center | 1036 1st Ave E, Shakopee, MN 55379 | 2018-02-22 |
| 1538522024 | Jesse Sylvester | Chiropractor | 1275 Ramsey Street South, #600, Shakopee, MN 55379 | 2016-04-01 |
| 1376903963 | Dakota Best Transportation LLC | Non-emergency Medical Transport (VAN) | 449 Dakota Street Apt 2, Shakopee, MN 55379 | 2016-02-25 |
| 1568856631 | Tatyana Mishkin Gleyzer | Nurse Practitioner | 1010 West Sixth Avenue, Shakopee, MN 55379 | 2015-03-26 |
| 1245634039 | Kalli Ledel | Pharmacist | 1198 Vierling Dr, Cub Pharmacy, Shakopee, MN 55379 | 2014-10-22 |
| 1487992913 | Jennifer Elizabeth Boyd | Nurse Practitioner | Pediatrics 1415 St Francis Ave, Park Nicollet Clinic-shakopee, Shakopee, MN 55379 | 2013-01-17 |
| 1013253798 | Acts Therapy LLC | Counselor | 8170 Old Carriage Court North, 215, Shakopee, MN 55379 | 2012-12-27 |
| Find all providers in zip 55379 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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 |
| 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 |
| 1932671765 | Camp Smile Pediatric Dentistry Chaska | Dentist | 111 Hundertmark Rd Ste 304n, Chaska, MN 55318-1587 | 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 |
| Find all providers with the same taxonomy | ||||
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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.