DR. CANAAN MUSCATELL (NPI# 1457888463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457888463 |
| Entity Type | Individual |
| Full Name | DR. CANAAN MUSCATELL |
| Credential | DDS |
| Practice Address |
802 Center Ave W Dilworth MN 56529-1339 |
| Mailing Address |
1965 Cliff Lake Rd Ste 102 Eagan MN 55122 |
| Practice Telephone | 2182872938 |
| Mailing Telephone | 6514524828 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D13824 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1457888463 | 05 |
| Street Address |
802 CENTER AVE W |
| City | DILWORTH |
| State | MN |
| Zip Code | 56529-1339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407853500 | Robert V Toutges | Dentist | 802 Center Ave W, Dilworth, MN 56529-1339 | 2005-07-05 |
| 1881065225 | Darin L. Edeen, Dds, PC | Dentist | 802 Center Ave W, Dilworth, MN 56529-1339 | 2015-10-12 |
| 1578997151 | Amanda Terveen | Dentist | 802 Center Ave W, Dilworth, MN 56529-1339 | 2013-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386780187 | Linda Jo Spitzer | Optometrist | 1675 Center Ave W, Sinkler Optical Suite C, Dilworth, MN 56529 | 2007-01-29 |
| 1033279724 | Isd 2164 | Local Education Agency (LEA) | 108 Main Street North, Dilworth, MN 56529 | 2006-12-11 |
| 1609977354 | Darin L Edeen | Dentist | 802 Center Ave West, Dilworth, MN 56529 | 2006-09-26 |
| 1295871002 | Sinkler Optical Fm Inc | Eyewear Supplier (Equipment, not the service) | 1675 Center Ave W, Dilworth, MN 56529 | 2007-01-29 |
| 1164505251 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 415 34th St N, Dilworth, MN 56529 | 2006-10-23 |
| 1407221278 | Sharlene Stoering | Contractor | 102 8th St Nw, Dilworth, MN 56529-1003 | 2015-12-04 |
| 1386000933 | Janae Moe | Physical Therapy Assistant | 606 5th St Ne, Dilworth, MN 56529-1125 | 2016-01-12 |
| 1053667493 | Neff Dialysis LLC | Clinic/Center | 1710 Center Ave W, Dilworth, MN 56529-1309 | 2012-08-02 |
| 1043512031 | Grand St. Paul Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1714 Center Ave W, Dilworth, MN 56529-1330 | 2010-11-23 |
| 1801417928 | Molly Askegaard | Pharmacist | 1714 Center Ave W, Dilworth, MN 56529-1330 | 2020-04-29 |
| Find all providers in zip 56529 | ||||
| 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 |
|---|---|---|---|---|
| 1609977354 | Darin L Edeen | Dentist | 802 Center Ave West, Dilworth, MN 56529 | 2006-09-26 |
| 1407853500 | Robert V Toutges | Dentist | 802 Center Ave W, Dilworth, MN 56529-1339 | 2005-07-05 |
| 1881065225 | Darin L. Edeen, Dds, PC | Dentist | 802 Center Ave W, Dilworth, MN 56529-1339 | 2015-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001149 | Kalyan Chakravarthy Kondreddi | Dentist | 327 Western Ave Ste A, Fergus Falls, MN 56537-2403 | 2020-10-20 |
| 1821696022 | Wyoming Family Dental | Dentist | 5378 East Viking Blvd., Wyoming, MN 55092 | 2020-10-12 |
| 1770190951 | Bluff Creek Dental Pllc | Dentist | 600 Market St Ste 130, Chanhassen, MN 55317-4570 | 2020-09-30 |
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1073128153 | Michael W Flinn Dds, Pa | Dentist | 200 Firewood Drive, Redwood, MN 56283 | 2020-09-15 |
| 1770196891 | Thomas J Hoeffel Dds Pa | Dentist | 2819 Hamline Ave N Ste 104, Roseville, MN 55113-7718 | 2020-08-28 |
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1679182687 | Downtown Dental Center Pllc | Dentist | 825 Nicollet Mall Ste 1427, Minneapolis, MN 55402-2703 | 2020-07-26 |
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1386252344 | Kacie Crowell Green | Dentist | 8900 Walnut St # 459, Rockford, MN 55373-5135 | 2020-07-16 |
| 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.