DR. MCLEAN SEVERSON (NPI# 1518379288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518379288 |
Entity Type | Individual |
Full Name | DR. MCLEAN SEVERSON |
Credential | D.D.S. |
Practice Address |
1050 Minnesota Avenue South Aitkin MN 56431 |
Practice Telephone | 2189273785 |
Practice Fax Number | 2189271785 |
Mailing Telephone | 2189273785 |
Mailing Fax Number | 2189271785 |
Enumeration Date | 2014-05-28 |
Last Update Date | 2018-01-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | D13370 | MN | Dental Providers |
N | 1223D0001X |
Dentist Specialization: Dental Public Health |
D13370 | MN | Dental Providers |
Street Address |
1050 MINNESOTA AVENUE SOUTH |
City | AITKIN |
State | MN |
Zip Code | 56431 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801051685 | Sean Robert Carl Fleming | Dentist | 1050 Minnesota Avenue South, Aitkin, MN 56431 | 2008-07-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952952731 | Cathleen Ann Twistol | Technician | 41544 270th Place, Aitkin, MN 56431 | 2019-09-24 |
1144354531 | Avalon Programs, LLC | Substance Abuse Rehabilitation Facility | 3 3rd Street Ne, Aitkin, MN 56431 | 2007-03-15 |
1366522138 | William E Stein | Dentist | 18 3rd St Sw, Aitkin, MN 56431 | 2006-10-16 |
1831282557 | John T Mateyka | Pharmacist | 124 Minn Ave N, Aitkin, MN 56431 | 2006-10-02 |
1134231590 | Aitkin Pharmacy Services, LLC | Pharmacy | 25 2nd Street, Ne, Aitkin, MN 56431 | 2006-08-31 |
1679959068 | Sharon Richardson | Counselor | 520 Nw 5th Street, Brainerd, MN 56431 | 2015-08-07 |
1679844260 | Jennifer Klee | Physical Therapist | 200 Bunker Hill Dr, Riverwood Healthcare Center, Aitkin, MN 56431 | 2012-01-13 |
1902960875 | Aitkin Community Hospital, Inc. | Clinic/Center | 200 Bunker Hill Dr, Aitkin, MN 56431 | 2006-12-21 |
1174687040 | Aitkin Community Hospital, Inc. | Medicare Defined Swing Bed Unit | 200 Bunker Hill Dr, Aitkin, MN 56431 | 2006-12-21 |
1841384450 | Patrick L Holder | Pharmacist | 124 Minn Ave N, Aitkin, MN 56431 | 2006-10-03 |
Find all providers in zip 56431 |
Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366522138 | William E Stein | Dentist | 18 3rd St Sw, Aitkin, MN 56431 | 2006-10-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730788498 | Modern Dental Professionals | Dentist | 676 County Road 10 Ne, Blaine, MN 55434-2329 | 2020-10-22 |
1588261812 | New London Family Dental | Dentist | 15 Ash St Se, New London, MN 56273 | 2020-10-09 |
1164036422 | Lolita Hicks | Dentist | 1290 Salem Rd Sw Ste 10, Rochester, MN 55902-4210 | 2020-09-03 |
1326650961 | Mcgann Family Dental | Dentist | 8981 33rd St N, Lake Elmo, MN 55042-9209 | 2020-08-17 |
1154931988 | Jordan Jeffrey Bolger | Dentist | 13899 Highway 15 S Frontage Rd, Savage, MN 55378-5537 | 2020-08-06 |
1285243733 | Grant R. Sorensen, Dds | Dentist | 1029 3rd Ave Ste 1, Worthington, MN 56187-2399 | 2020-07-29 |
1851909436 | Matthew Rohlf | Dentist | 5378 E Viking Blvd, Wyoming, MN 55092 | 2020-07-20 |
1205444106 | Sidra Zahooruddin | Dentist | 107 Dupont Ave, Nw, Renville, MN 56284 | 2020-07-16 |
1104434380 | Jongseuk Lim | Dentist | 1119 W Frontage Rd, Owatonna, MN 55060-5663 | 2020-07-14 |
1699393942 | Danika Elizabeth Jackson | Dentist | 237 Radio Dr Ste 110, Woodbury, MN 55125-4478 | 2020-07-13 |
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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.