BIRCHWOOD DENTAL, LLC (NPI# 1205443850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205443850 |
| Entity Type | Organization |
| Organization Name | BIRCHWOOD DENTAL, LLC |
| Practice Address |
3356 Sherman Crt Ste 101 Eagan MN 55121 |
| Practice Telephone | 6519941700 |
| Mailing Telephone | 6519941700 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | KELLY C LENZ (PRACTICE MANAGER) |
| Authorized Official Telephone | 6519941700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Birchwood Dental | Doing Business As Name - Organization |
| Street Address |
3356 SHERMAN CRT STE 101 |
| City | EAGAN |
| State | MN |
| Zip Code | 55121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811552813 | Clare Muyskens | Physical Therapist | 3305 Central Park Commons Dr, Eagan, MN 55121 | 2019-05-06 |
| 1154986479 | Elp Right Living Health LLC | Assisted Living Facility | 3035 Eagandale Pl #101, Eagan, MN 55121 | 2019-05-02 |
| 1467908699 | Hy Vee Inc | Pharmacy | 1500 Central Park Commons Drive, Eagan, MN 55121 | 2016-08-28 |
| 1962861005 | Lakeline Transportation LLC | Non-emergency Medical Transport (VAN) | 1416 Shoreline Dr, Eagan, MN 55121 | 2016-02-17 |
| 1467838615 | John Berchem | Physical Therapist | 1284 Coporate Center Drive, #500, Eagan, MN 55121 | 2015-08-10 |
| 1730426099 | Carole P Cohen | Occupational Therapist | 880 Blue Gentian Road, Ste # 190, Eagan, MN 55121 | 2013-01-07 |
| 1407102882 | Emergency Physicians Professional Association | Clinic/Center | 3010 Denmark Avenue, Eagan, MN 55121 | 2012-08-03 |
| 1851692289 | Eagan Family Chiropractic & Massage | Chiropractor | 1260 Yankee Doodle Road, Suite 100, Eagan, MN 55121 | 2010-11-17 |
| 1780805218 | Bridget Marie Mcconnell | Social Worker | 680 O'neill Drive, Eagan, MN 55121 | 2007-05-01 |
| 1932329679 | Tyler Beauchamp | Massage Therapist | 3390 Coachman, Eagan, MN 55121 | 2007-04-26 |
| Find all providers in zip 55121 | ||||
| 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 |
|---|---|---|---|---|
| 1730734708 | Ideal Dental Pllc | Dentist | 2130 Cliff Rd Ste 107, Eagan, MN 55122-2486 | 2019-08-07 |
| 1760972749 | Nicholas Theodore Schulte | Dentist | 1960 Cliff Lake Rd Ste 127, Eagan, MN 55122-2439 | 2018-05-15 |
| 1710357520 | Modern Dental Professionals, Mn PC | Dentist | 1625 Lena Ct, Suite 100, Eagan, MN 55122-2959 | 2015-10-06 |
| 1184093551 | Eagan Smiles Dentistry, PC | Dentist | 3405 Promenade Ave, Suite 300, Eagan, MN 55123-4404 | 2015-09-16 |
| 1225265309 | Molly Anne Henry | Dentist | 1965 Cliff Lake Rd, Suite #102, Eagan, MN 55122-2590 | 2009-06-16 |
| 1144353780 | Eagan Family Dentistry | Dentist | 4178 Knob Dr Ste C, Eagan, MN 55122-1875 | 2007-03-13 |
| 1871632026 | Karrie Marie Glasgow | Dentist | 1260 Yankee Doodle Rd, Suite 102, Eagan, MN 55121-2201 | 2007-02-05 |
| 1528127917 | Mark Joseph Skala | Dentist | 1905 Plaza Dr, Eagan, MN 55122-2883 | 2006-12-08 |
| 1841368545 | Dr Gerald W Rauchwarter Dds LLC | Dentist | 1960 Cliff Lake Road, #127, Eagan, MN 55122 | 2006-12-01 |
| 1932275971 | Pdg, P.a. | Dentist | 1895 Plaza Dr, Suite 130, Eagan, MN 55122-4600 | 2006-11-28 |
| Find all providers in EAGAN | ||||
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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.