NORTHLAND SMILES CORPORATION PA (NPI# 1043567357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043567357 |
Entity Type | Organization |
Organization Name | NORTHLAND SMILES CORPORATION PA |
Practice Address |
21343 Archibald Road Deerwood MN 56444 |
Mailing Address |
Po Box 385 Deerwood MN 56444-0385 |
Practice Telephone | 2185343141 |
Mailing Telephone | 2185343141 |
Enumeration Date | 2012-08-07 |
Last Update Date | 2012-08-07 |
Authorized Official Name | DR. KENDALL LEWIS DAMMEIER (OWNER) |
Authorized Official Telephone | 2185343141 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Street Address |
21343 ARCHIBALD ROAD |
City | DEERWOOD |
State | MN |
Zip Code | 56444 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578667937 | James Daniel Strampe | Dentist | 21343 Archibald Road, Deerwood, MN 56444 | 2006-09-07 |
1801222542 | Martine Gneme Zoumanigui | Dental Therapist | 21343 Archibald Road, Deerwood, MN 56444 | 2013-09-25 |
1023397429 | Youssef Samir Abou Atme | Dentist | 21343 Archibald Road, The Smile Center, Deerwood, MN 56444 | 2011-08-16 |
1861796013 | Molly Rebecca Gervich | Dentist | 21343 Archibald Road, Deerwood, MN 56444 | 2011-01-03 |
1639482474 | Jaime Beth Waller | Dentist | 21343 Archibald Road, Deerwood, MN 56444 | 2010-07-21 |
1679700942 | Kendall Lewis Dammeier | Dentist | 21343 Archibald Road, Deerwood, MN 56444 | 2009-06-15 |
1992991004 | Amith Kula Shetty | Dentist | 21343 Archibald Road, Deerwood, MN 56444 | 2007-09-21 |
1730262585 | Deerwood Dental, Inc | Clinic/Center | 21343 Archibald Road, Deerwood, MN 56444-0385 | 2006-10-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063972271 | Northland Smiles Little Falls, Pa | Clinic/Center | 306 13th St Ne, Little Falls, MN 56444 | 2019-03-22 |
1114253804 | Stephanie Louise Vandal | Doula | 22377 Linden Street, Deerwood, MN 56444 | 2009-10-30 |
1841349164 | Minnesota Mobility Systems Inc. | Durable Medical Equipment & Medical Supplies | 21279 Archibald Road, Deerwood, MN 56444 | 2007-01-09 |
1043329642 | Bradford J Pugh | Dentist | 21343 Archibald Rd, Deerwood, MN 56444 | 2006-08-29 |
1851400097 | Padmanjali Batthula | Dentist | 21343 Archibald Rd, Deerwood, MN 56444 | 2006-08-30 |
1558470153 | Edward L Silker | Dentist | 21343 Archibald Rd, Deerwood, MN 56444 | 2006-08-29 |
1528511706 | Anna Carr | Dentist | 21343 Archibald Rd, Deerwood, MN 56444-2200 | 2016-07-25 |
1700084076 | Dominador B Soriano | Family Medicine | 22535 Beach Rd, Deerwood, MN 56444-6191 | 2007-07-06 |
1043638877 | Emily Branum | Occupational Therapist | 22117 Ministers Point Rd, Deerwood, MN 56444-6195 | 2014-03-29 |
1942440441 | Central Minnesota Home Care, Inc. | In Home Supportive Care | 22413 State Highway 6, 200, Deerwood, MN 56444-6245 | 2009-02-24 |
Find all providers in zip 56444 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730262585 | Deerwood Dental, Inc | Clinic/Center | 21343 Archibald Road, Deerwood, MN 56444-0385 | 2006-10-23 |
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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.