MR. ISAAC ROBERT MEREDITH


Address: 1016 1st St S, Willmar, MN 56201-3510
Phone: 3202352010

MR. ISAAC ROBERT MEREDITH (NPI# 1538633946) 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) 1538633946
Entity Type Individual
Full Name MR. ISAAC ROBERT MEREDITH
Credential DT
Practice Address 1016 1st St S
Willmar
MN 56201-3510
Mailing Address 920 4th St Sw
Willmar
MN 56201-3532
Practice Telephone 3202352010
Mailing Telephone 6122328958
Enumeration Date 2019-01-18
Last Update Date 2019-01-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 125J00000X Dental Therapist DT97 MN Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
920 4th St Sw, Willmar, MN 562013532 6127085104

Office Location

Street Address 1016 1ST ST S
City WILLMAR
State MN
Zip Code 56201-3510

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376615450 Willmar Family Dentistry, Pa Dentist 1016 1st St S, Willmar, MN 56201-3510 2006-11-14
1689171282 Trent John Neisen Dentist 1016 1st St S, Willmar, MN 56201-3510 2018-04-10
1205204674 Willmar Family Dentistry, P.a. Dental Therapist 1016 1st St S, Willmar, MN 56201-3510 2015-09-02
1205908357 Peter M Jorgenson Dentist 1016 1st St S, Willmar, MN 56201-3510 2006-11-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730793472 Sarah Erickson Counselor 2120 60th Ave N.w., Willmar, MN 56201 2020-09-01
1417560681 Amy Engle Nurse Practitioner 1125 Se 8th Street, Willmar, MN 56201 2020-08-28
1154856524 Mude Transportation Inc Non-emergency Medical Transport (VAN) 1712 Monongalia Ave Sw Ap1, Willmar, MN 56201 2017-04-24
1285025874 Jill Fellows Occupational Therapist 611 5th St. Sw, Willmar, MN 56201 2015-02-18
1700294881 Brenda Wiese Counselor 1617 Hwy 12 E, Suite 230, Willmar, MN 56201 2014-08-01
1275955932 Courtney Regnier Marriage & Family Therapist 2320 E Hwy 12 Ste 2, Willmar, MN 56201 2014-01-15
1568732402 Pamela Jean Kubesh Social Worker 328 Sw 3rd Street, Willmar, MN 56201 2012-01-10
1699931824 Community Behavioral Health Hospital-willmar Psychiatric Hospital 1208 Olena Ave Se, Willmar, MN 56201 2008-08-07
1700053345 Nathan Schrick Marriage & Family Therapist 513 Sw 5th Street, Box 1810, Willmar, MN 56201 2008-05-13
1831381680 Joan M Blonigan Christianson Chiropractor 1101 S 1st Street, Willmar, MN 56201 2007-08-15
Find all providers in zip 56201

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 city

NPI Name Taxonomy Address Enumeration
1205204674 Willmar Family Dentistry, P.a. Dental Therapist 1016 1st St S, Willmar, MN 56201-3510 2015-09-02

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
1376077974 Saritha Gajawada Dental Therapist 15354 Plumstone Dr, Eden Prairie, MN 55347-2061 2017-04-20
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
Find all providers with the same taxonomy

Competitor

Search similar providers

City WILLMAR
Zip Code 56201

Improve Information

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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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