SARITHA GAJAWADA


Address: 15354 Plumstone Dr, Eden Prairie, MN 55347-2061
Phone: 6122443143

SARITHA GAJAWADA (NPI# 1376077974) 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) 1376077974
Entity Type Individual
Full Name SARITHA GAJAWADA
Practice Address 15354 Plumstone Dr
Eden Prairie
MN 55347-2061
Practice Telephone 6122443143
Mailing Telephone 6122443143
Enumeration Date 2017-04-20
Last Update Date 2017-04-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 125J00000X Dental Therapist DT85 MN Dental Providers

Office Location

Street Address 15354 PLUMSTONE DR
City EDEN PRAIRIE
State MN
Zip Code 55347-2061

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861013765 Wellspring Women's Counseling Pllc Counselor 8688 Shiloh Court, Eden Prairie, MN 55347 2020-05-01
1588156525 Orthodontic Specialists of Minnesota, P.l.l.c. Dentist 18315 Cascade Dr Ste 110, Eden Prairie, MN 55347 2018-06-05
1013436591 Peter Joseph Dorsen Counselor 14377 Chestnut Drive, Eden Prairie, MN 55347 2017-09-15
1144508490 Jenny Marie Heidt Chiropractor 8941 Aztec Drive, Eden Prairie, MN 55347 2011-08-03
1023337946 Holly Christine Hanson Dermatology 18315 Cascade Dr., Suite 150, Eden Prairie, MN 55347 2010-05-18
1083635635 Michael H Hoxie Dentist 7825 Terrey Pine Court, Suite 101, Eden Prairie, MN 55347 2006-07-21
1396290334 Eve R. Boaheng Audiologist-Hearing Aid Fitter 18315 Cascade Dr, 100, Eden Prairie, MN 55347 2016-08-19
1316380934 Sima Kavand Internal Medicine 1925 Woodwinds Dr, Woodbury, MN 55347 2013-04-12
1073534632 Bruce W Hultgren Dentist 7825 Terrey Pine Court, Suite 101, Eden Prairie, MN 55347 2006-07-21
1407258239 Audrey Butler Speech-Language Pathologist 18117 Settlers Way, Eden Prairie, MN 55347-1029 2014-09-24
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Taxonomy Information

Taxonomy Code 125J00000X
Grouping Dental Providers
Classification Dental Therapist

Taxonomy Definition

A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
Notes: Source: Summarized from Minnesota Statute 150A.105. [7/1/2012: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487264446 Amber Nichelle Irby Dental Therapist 903 W Center St #130, Rochester, MN 55902 2020-08-05
1558835942 Jennifer Iacobelli Dental Therapist 13899 Highway 13 South Frontage Road, Savage, MN 55378 2019-01-18
1992288781 Katie Ask Dental Therapist 13889 Highway 13 S, Frontage Rd, Savage, MN 55378 2018-09-08
1487154092 Sunny Moon Dental Therapist 10584 France Ave S, Bloomington, MN 55431-3538 2018-02-20
1326548454 Julie Bonham Dental Therapist 803 3rd St. Se, Suite 330, Little Falls, MN 56345 2018-02-15
1649644063 Brittany Gronland Dental Therapist 25730 Smithtown Rd, Excelsior, MN 55331-8592 2015-11-23
1124405857 Jenna Susanne Marquardt Dental Therapist 209 South 1st Street, Montevideo, MN 56265 2015-05-01
1558751495 Weston Mark Schmidt Dental Therapist 411 East Howard St., Jacobson Family Dentistry PC, Hibbing, MN 55746 2015-01-30
1003230137 Janelle Jehn Dental Therapist 4342 4th Ave S, Minneapolis, MN 55409-2155 2014-02-10
1346506011 Lindsey Lee Tischer Dental Therapist 205 Pleasant Ave, Park Rapids, MN 56470-1432 2012-04-07
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Competitor

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City EDEN PRAIRIE
Zip Code 55347

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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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