DR. JOHN CLAYTON WITHROW (NPI# 1407915432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407915432 |
| Entity Type | Individual |
| Full Name | DR. JOHN CLAYTON WITHROW |
| Credential | DDS |
| Practice Address |
8650 Hudson Blvd N Suite105 Lake Elmo MN 55042-9747 |
| Mailing Address |
14801 Summit Oaks Dr Burnsville MN 55337-4789 |
| Practice Telephone | 6516361072 |
| Practice Fax Number | 6515011471 |
| Mailing Telephone | 9524313548 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
D11398 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235538836 | John Conrad Withrow | Nurse Practitioner | 207 Balfour Dr, Ste 102, Archdale, NC 27263-3532 | 2014-08-19 |
| Street Address |
8650 HUDSON BLVD N SUITE105 |
| City | LAKE ELMO |
| State | MN |
| Zip Code | 55042-9747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902805278 | East Metro Asc LLC | Clinic/Center | 8650 Hudson Blvd N, Lake Elmo, MN 55042-8448 | 2005-07-19 |
| 1396120473 | Pdg, Pa | Clinic/Center | 8650 Hudson Blvd N, Suite 105, Lake Elmo, MN 55042 | 2015-07-30 |
| 1932587383 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 8650 Hudson Blvd N, Suite 100, Lake Elmo, MN 55042-9747 | 2015-05-18 |
| 1003212176 | Michelle Cunningham | Nurse Anesthetist, Certified Registered | 8650 Hudson Blvd N, Suite 235, Lake Elmo, MN 55042-9747 | 2014-11-17 |
| 1558648337 | St. Croix Orthopaedics, P.a. | Durable Medical Equipment & Medical Supplies | 8650 Hudson Blvd N, Ste. 100, Lake Elmo, MN 55042-9747 | 2011-11-08 |
| 1497072680 | Patricia Akers | Nurse Anesthetist, Certified Registered | 8650 Hudson Blvd N, Suite 235, Lake Elmo, MN 55042-9747 | 2010-04-27 |
| 1457593550 | Pediatric and Young Adult Medicine, Pa | Clinic/Center | 8650 Hudson Blvd N, Suite 125, Lake Elmo, MN 55042-9747 | 2009-04-03 |
| 1326178948 | Lakeview Hospital Inc. | Pharmacy | 8650 Hudson Blvd N, Suite 100, Lake Elmo, MN 55042-9747 | 2007-03-06 |
| 1982763454 | Alfredo Montes Imeri | Dentist | 8650 Hudson Blvd N, #105, Lake Elmo, MN 55042-9747 | 2006-12-08 |
| 1598824583 | Bruce Douglas Campbell | Dentist | 8650 Hudson Blvd N, Suite 105, Lake Elmo, MN 55042-9747 | 2006-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811440738 | Eleni Voltidi | Dentist | 8650 Hudson Blvd N Ste 105, Lake Elmo, MN 55042 | 2016-07-27 |
| 1760781314 | Swedehill Lifecare, LLC | Home Health | 8951 Highway 5, Lake Elmo, MN 55042 | 2011-03-22 |
| 1295859676 | St Croix Valley Dental Pllc | Dentist | 10035 City Walk Dr, Ste A Lake Elmo Dental, Lake Elmo, MN 55042 | 2007-03-19 |
| 1245281823 | Kent Gregory Brockmann | Psychiatry & Neurology | 8673 Eagle Point Blvd, Lake Elmo, MN 55042 | 2006-05-16 |
| 1396722674 | Nancy L Johnson-rauen | Physical Therapist | 9242 Hudson Blvd N Ste 400, Lake Elmo, MN 55042 | 2005-12-28 |
| 1639655384 | Katlyn Arndt | Psychiatry & Neurology | 8515 Eagle Point Blvd, Lake Elmo, MN 55042 | 2018-07-16 |
| 1295227247 | Orthodontic Specialists of Minnesota, P.l.l.c. | Dentist | 8650 Hudson Blvd N Ste 105, Lake Elmo, MN 55042 | 2018-06-05 |
| 1124455324 | Leslie Markowitz | Psychologist | 8550 Hudson Blvd N, Lake Elmo, MN 55042 | 2013-10-02 |
| 1215295001 | Jessica R Baltz | Marriage & Family Therapist | 3819 Laverne Ave N, Lake Elmo, MN 55042 | 2012-04-30 |
| 1790053460 | Jennifer Jean Solin | Psychologist | 8550 Hudson Blvd N, Lake Elmo, MN 55042 | 2011-12-08 |
| Find all providers in zip 55042 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093261190 | Group Health Plan, Inc. | Dentist | 8515 Eagle Point Blvd, Lake Elmo, MN 55042-8624 | 2016-08-29 |
| 1710930573 | Alan S Law | Dentist | 8650 Hudson Blvd N, 105, Lake Elmo, MN 55042-9747 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568071199 | Dental Specialist of Minnesota, Pllc | Dentist | 18258 Minnetonka Blvd Ste 100, Wayzata, MN 55391-3324 | 2020-07-29 |
| 1215588660 | The Dental Specialist of Minnesota, Pllc | Dentist | 324 W Superior St Ste 824, Duluth, MN 55802-1718 | 2019-09-26 |
| 1780236539 | Modern Care Endodontics of Apple Valley | Dentist | 15160 Foliage Ave Ste 100, Apple Valley, MN 55124-5916 | 2019-07-11 |
| 1699268052 | Christopher Rex Lai | Dentist | 8-166 Moos Health Sciene Tower, 515 Delaware St. Se, Minneapolis, MN 55455 | 2018-06-11 |
| 1699272427 | Group Health Plan Inc | Dentist | 5500 Excelsior Blvd, St Louis Park, MN 55416-2935 | 2018-04-09 |
| 1225533037 | Younghyup Byun | Dentist | 1900 Kruchten Ct S Ste 100, Sartell, MN 56377-4731 | 2018-03-26 |
| 1275034886 | Great River Endodontics | Dentist | 9381 Cedar St., Monticello, MN 55362 | 2018-02-28 |
| 1417464157 | Deer River Dental Clinic | Dentist | 111 Main Street E, Deer River, MN 56636 | 2018-01-03 |
| 1174045975 | The Dental Specialists of Minnesota, Pllc | Dentist | 4640 Nicols Rd Ste 202, Eagan, MN 55122-7400 | 2017-07-13 |
| 1861914061 | The Dental Specialist of Minnesota, Pllc | Dentist | 2550 University Ave W Ste 155s, Saint Paul, MN 55114-1098 | 2017-07-10 |
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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.