DR. DANIEL FAMA (NPI# 1629695051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629695051 |
Entity Type | Individual |
Full Name | DR. DANIEL FAMA |
Credential | DDS |
Practice Address |
4700 Lexington Ave N Ste A Shoreview MN 55126-5964 |
Practice Telephone | 6514831858 |
Mailing Telephone | 6514831858 |
Enumeration Date | 2020-07-01 |
Last Update Date | 2020-07-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
D14398 | MN | Dental Providers |
Street Address |
4700 LEXINGTON AVE N STE A |
City | SHOREVIEW |
State | MN |
Zip Code | 55126-5964 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174184964 | Natural Smiles Dental Care | Clinic/Center | 3434 Lexington Ave. N, Suite 700, Shoreview, MN 55126 | 2019-06-24 |
1588194740 | Michael Simons | Hearing Instrument Specialist | 1007 Tiller Lane, Shoreview, MN 55126 | 2017-06-19 |
1902255441 | Latarsha Nicole Bronaugh | Counselor | 3490 Lexington Ave North, Suite 205, Shoreview, MN 55126 | 2016-06-06 |
1265809479 | Emily Elizabeth Bade | Social Worker | 3490 Lexington Ave. N, Suite 205, Shoreview, MN 55126 | 2015-08-24 |
1669857520 | Laurel Ann Walsh | Marriage & Family Therapist | 3490 Lexington Ave. N., Suite 205, Shoreview, MN 55126 | 2015-07-21 |
1598150930 | Nova Bhs | Psychologist | 521 Tanglewood Dr., Shoreview, MN 55126 | 2015-04-02 |
1144570714 | Healthstat Arkansas/pace Ind.- St. Paul | Preventive Medicine | 3737 Lexington Ave. N, St. Paul, MN 55126 | 2012-09-11 |
1679843619 | Shoreview Dental Associates | Dentist | 4700 Lexington Avenue N, Suite D, Shoreview, MN 55126 | 2012-01-09 |
1700039575 | Jacqueline Elizabeth Hoppenrath | Audiologist | 4570 Churchill St Ste 130, Shoreview, MN 55126 | 2008-10-24 |
1164545935 | Lucia Jane Lein | Chiropractor | 1000 W. County Rd. E, 210, Shoreview, MN 55126 | 2007-04-09 |
Find all providers in zip 55126 |
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 |
---|---|---|---|---|
1013281302 | Mark Legan | Dentist | 1004 Glen Paul Ct, Shoreview, MN 55126-8113 | 2012-03-04 |
1679843619 | Shoreview Dental Associates | Dentist | 4700 Lexington Avenue N, Suite D, Shoreview, MN 55126 | 2012-01-09 |
1275775348 | Samy Wasfy Boulos | Dentist | 470 Highway 96 W Ste 200, Shoreview, MN 55126-3214 | 2009-04-03 |
1619186400 | Diane Marie Zimmerman | Dentist | 3200 Lexington Ave N, Shoreview, MN 55126-8135 | 2007-05-21 |
1457322489 | Gary Ralph Smisek | Dentist | 501 Tanglewood Dr, Shoreview, MN 55126-2016 | 2006-01-28 |
1225031156 | Northview Dental, P.a. | Dentist | 4700 Lexington Ave N, Shoreview, MN 55126-5844 | 2005-05-24 |
1841452398 | Harbor Place Dental Associates, Ltd | Dentist | 470 Highway 96 W, Suite 200, Shoreview, MN 55126-1996 | 2008-06-26 |
1457570194 | Smisek Family Dentistry P.a. | Dentist | 501 Tanglewood Dr, Shoreview, MN 55126-2016 | 2007-04-24 |
1144384207 | Ronald Miichael Smisek | Dentist | 501 Tanglewood Dr, Shoreview, MN 55126-2016 | 2006-12-21 |
1952463457 | Sarah J. Melstrom | Dentist | 4700 Lexington Ave N, Shoreview, MN 55126-5844 | 2006-12-14 |
Find all providers in SHOREVIEW |
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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.