WHITE BEAR DENTISTS, PC (NPI# 1558725598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558725598 |
| Entity Type | Organization |
| Organization Name | WHITE BEAR DENTISTS, PC |
| Other Organization Name | WHITE BEAR DENTISTS |
| Practice Address |
1970 Buerkle Road White Bear Lake MN 55110 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 6513375695 |
| Practice Fax Number | 6513334043 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 9494741495 |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |
| Authorized Official Name | DR. PAUL S GEBHART (OWNER) |
| Authorized Official Telephone | 6513375695 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| White Bear Dentists | Doing Business As Name - Organization |
| Street Address |
1970 BUERKLE ROAD |
| City | WHITE BEAR LAKE |
| State | MN |
| Zip Code | 55110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467071084 | St. Catherine University School Based Health Clinic | Nurse Practitioner | 5045 Division Ave, White Bear Lake, MN 55110 | 2020-04-14 |
| 1922450618 | Lisa Marie Thatcher | Podiatrist | 4653 White Bear Pkwy., St. Paul, MN 55110 | 2016-07-06 |
| 1124486246 | Julie Blaske | Counselor | 1310 Hwy 96 E, Suite 200, White Bear Lake, MN 55110 | 2016-02-03 |
| 1851761514 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 1920 Buerkle Rd, White Bear Lake, MN 55110 | 2015-10-06 |
| 1821496969 | Leah Eichmiller | Acupuncturist | 2183 3rd Street, C/o Indulge Salon, White Bear Lake, MN 55110 | 2014-12-05 |
| 1447672084 | Ashley Rath | Chiropractor | 1247 Gun Club Rd., White Bear Lake, MN 55110 | 2014-01-16 |
| 1790121291 | Advanced Medical Home Care, LLC | Home Health | 2555 County Road E East, Suite 101, White Bear Lake, MN 55110 | 2013-05-11 |
| 1134468465 | Emergency Physicians Professional Association | Clinic/Center | 1159 E. County Road E, Vadnais Heights, MN 55110 | 2013-02-06 |
| 1639444284 | Rebecca Lynn Blaede | Counselor | 4858 Banning Avenue, White Bear Lake, MN 55110 | 2012-03-15 |
| 1760771810 | Maria Leora Amaro Simmons | Pharmacist | 1403 Highway 96e, White Bear Lake, MN 55110 | 2011-03-29 |
| Find all providers in zip 55110 | ||||
| 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 |
|---|---|---|---|---|
| 1720621451 | Isla Pllc | Dentist | 4754 Washington Sq, White Bear Lake, MN 55110-3257 | 2019-10-25 |
| 1083853113 | Birch Lake Dental Pa | Dentist | 2641 White Bear Parkway, White Bear Lake, MN 55110 | 2009-02-12 |
| 1598822637 | Daniel Richard Isaacson | Dentist | 4700 White Bear Pkwy, White Bear Lake, MN 55110-3336 | 2007-01-01 |
| 1811057433 | Suzanne M Kappel Geib | Dentist | 2189 3rd St, White Bear Lake, MN 55110 | 2006-12-12 |
| 1518045756 | Robert John Marolt | Dentist | 955 Wildwood Rd, White Bear Lake, MN 55115-1847 | 2006-11-02 |
| 1770692386 | Bruce L Neubauer | Dentist | 1430 Highway 96, White Bear Lake, MN 55110 | 2006-08-29 |
| 1225146855 | Stephen William Jaksa | Dentist | 4801 Highway 61 N, Suite 301, White Bear Lake, MN 55110-2737 | 2006-08-25 |
| 1669585154 | Lakeshore Family Dentistry Pa | Dentist | 4706 Banning Ave, White Bear Lake, MN 55110 | 2006-08-17 |
| 1073525184 | Charles Francis Kaminski Jr. | Dentist | 4754 Washington Square, White Bear Lake, MN 55110-3257 | 2006-08-13 |
| 1679525182 | Ronald D Fletcher | Dentist | 4100 Bellaire Ave, White Bear Lake, MN 55110-3910 | 2006-05-16 |
| Find all providers in WHITE BEAR LAKE | ||||
| City | WHITE BEAR LAKE |
| Zip Code | 55110 |
Please comment or provide details below to improve the information on WHITE BEAR DENTISTS, PC.
| 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.