DENTAL SPECIALISTS OF MINNESOTA, PLLC (NPI# 1508932344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508932344 |
| Entity Type | Organization |
| Organization Name | DENTAL SPECIALISTS OF MINNESOTA, PLLC |
| Other Organization Name | THE DENTAL SPECIALISTS |
| Practice Address |
40 W Nicollet Blvd Burnsville MN 55337-4524 |
| Mailing Address |
2200 County Road C W Suite 2210 Roseville MN 55113-2550 |
| Practice Telephone | 9529294458 |
| Mailing Telephone | 6516330500 |
| Mailing Fax Number | 6516366350 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | DR. ALAN LAW (PRESIDENT) |
| Authorized Official Telephone | 6516330500 |
| Authorized Official Credential | D.D.S., PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| The Dental Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396095048 | Dental Specialists of Minnesota, Pllc | Dentist | 3360 Northdale Blvd., Coon Rapids, MN 55448-1825 | 2012-09-10 |
| 1922308113 | Dental Specialists of Minnesota, Pllc | Dentist | 12904 Central Ave. Ne, Blaine, MN 55434 | 2010-10-22 |
| 1780750539 | Dental Specialists of Minnesota, Pllc | Dentist | 1835 County Road C-west, Suite 200, Roseville, MN 55113-1343 | 2006-11-24 |
| 1003431263 | Dental Specialists of Minnesota, Pllc | Dentist | 14525 Highway 7 Ste 125, Minnetonka, MN 55345-3738 | 2020-06-13 |
| 1760013015 | Dental Specialists of Minnesota, Pllc | Dentist | 15015 Cimarron Ave, Rosemount, MN 55068-2771 | 2020-01-27 |
| 1851772362 | Dental Specialists of Minnesota, Pllc | Dentist | 2200 County Road C W, Suite 2210, Roseville, MN 55113-2550 | 2015-06-11 |
| 1619382876 | Dental Specialists of Minnesota, Pllc | Dentist | 12180 Business Park Blvd N, Champlin, MN 55316-4525 | 2014-06-26 |
| 1558776716 | Dental Specialists of Minnesota, Pllc | Dentist | 1150 Hazeltine Blvd, Chaska, MN 55318-1004 | 2014-06-26 |
| 1710317417 | Dental Specialists of Minnesota, Pllc | Dentist | 11240 Stillwater Blvd N, Lake Elmo, MN 55042-9321 | 2013-11-15 |
| 1003245333 | Dental Specialists of Minnesota, Pllc | Dentist | 1109 Moore Lake Dr E, Fridley, MN 55432-5171 | 2013-11-07 |
| Street Address |
40 W NICOLLET BLVD |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-4524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245722297 | Orthodontic Specialists of Minnesota, P.l.l.c. | Dentist | 40 W Nicollet Blvd, Burnsville, MN 55337-4524 | 2018-06-05 |
| 1366992034 | Omar Ezzaldin Abusteit | Dentist | 40 W Nicollet Blvd, Burnsville, MN 55337-4524 | 2016-10-06 |
| 1134595556 | Lindsey Erickson | Dentist | 40 W Nicollet Blvd, Burnsville, MN 55337-4524 | 2015-08-19 |
| 1821473927 | Pdg, P.a. | Clinic/Center | 40 W Nicollet Blvd, Burnsville, MN 55337 | 2015-07-30 |
| 1659798866 | Xu Benjamin Han | Dentist | 40 W Nicollet Blvd, Burnsville, MN 55337-4524 | 2014-03-25 |
| 1306976279 | Sarah L Carlson | Dentist | 40 W Nicollet Blvd, Burnsville, MN 55337 | 2007-03-07 |
| 1588725394 | Karen Ann Kohler | Dentist | 40 W Nicollet Blvd, Burnsville, MN 55337-4524 | 2006-12-13 |
| 1891854832 | Amanda Buntzman Allen | Dentist | 40 W Nicollet Blvd, Burnsville, MN 55337-4524 | 2006-12-06 |
| 1184782542 | Pdg,p.a. | Dentist | 40 W Nicollet Blvd, Burnsville, MN 55337-4524 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| 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 |
|---|---|---|---|---|
| 1306074836 | Tyler Blaine Peterson | Dentist | 625 E. Nicollet Blvd., Suite 340, Burnsville, MN 55337 | 2009-06-23 |
| 1861654626 | Michael Thomas Reynolds | Dentist | 625 E. Nicollet Blvd, Suite 340, Burnsville, MN 55337 | 2008-07-01 |
| 1366992034 | Omar Ezzaldin Abusteit | Dentist | 40 W Nicollet Blvd, Burnsville, MN 55337-4524 | 2016-10-06 |
| 1124342480 | Rhett C Finley | Dentist | 625 E. Nicollet Blvd., Suite 340, Burnsville, MN 55337 | 2010-03-16 |
| 1407945199 | Metropolitan Endodontics, Ltd. | Dentist | 625 E Nicollet Blvd, Suite 340, Burnsville, MN 55337-6734 | 2006-10-12 |
| 1225147184 | Roger Jerome Burke | Dentist | 625 E Nicollet Blvd, Suite 340, Burnsville, MN 55337-6734 | 2006-08-30 |
| 1881703742 | Scott Lawrence Doyle | Dentist | 625 E Nicollet Blvd, Suite 340, Burnsville, MN 55337-6734 | 2006-08-30 |
| 1518076496 | Eric Holmes Grutzner | Dentist | 625 E Nicollet Blvd, Suite 340, Burnsville, MN 55337-6734 | 2006-08-30 |
| 1518076405 | Robert Louis Kaufman | Dentist | 625 E Nicollet Blvd, Suite 340, Burnsville, MN 55337-6734 | 2006-08-30 |
| 1013026053 | Andrew Mark Doroschak | Dentist | 625 E Nicollet Blvd, Suite 340, Burnsville, MN 55337-6734 | 2006-08-30 |
| Find all providers in BURNSVILLE | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
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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.