LANCE SVOBODA (NPI# 1639118771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639118771 |
| Entity Type | Individual |
| Full Name | LANCE SVOBODA |
| Credential | DDS, MS |
| Practice Address |
701 Park Ave P7 Minneapolis MN 55415-1623 |
| Mailing Address |
701 Park Ave Minneapolis MN 55415-1623 |
| Practice Telephone | 6128732370 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2007-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D11474 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 093455100 | 05 |
| Street Address |
701 PARK AVE P7 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55415-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750387734 | David C Templeman | Orthopaedic Surgery | 701 Park Ave, Department of Orthopedics, Minneapolis, MN 55415-1623 | 2005-06-23 |
| 1164029336 | James Wayne Fisher | Psychologist | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-10-01 |
| 1396351482 | Emily Ann Beck | Physical Therapist | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-09-23 |
| 1932714524 | Manju Elizabeth Alexander | Psychologist | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-09-10 |
| 1043838675 | Ayan Hashi | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-07-09 |
| 1366068561 | Roberto Emilio Fu Carrasco | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-06-23 |
| 1104448810 | Michael Berryman | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-05-15 |
| 1811519192 | Viktoriya A. Ishchuk | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-05-10 |
| 1861014235 | Abdurahman Salah Ibrahim | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-05-08 |
| 1962024430 | Timothy Baerg | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547643 | Kevin Reininger | Pharmacist | 730 S 8th St., Pharmacy Department, Minneapolis, MN 55415 | 2020-04-24 |
| 1124674551 | Andrew Michael Baker | Pathology | Hennepin County Medical Examiner, 530 Chicago Ave, Minneapolis, MN 55415 | 2019-08-12 |
| 1598326951 | Monazza Iqbal Chaudhry | Student in an Organized Health Care Education/Training Program | Hennepin County Medical Center 701 Park Avenue, Minneapolis, MN 55415 | 2019-06-26 |
| 1760947196 | Brandon Haas | Pharmacist | 701 Park Ave Rll, Minneapolis, MN 55415 | 2019-02-11 |
| 1710474192 | Andrea Kramer | Student in an Organized Health Care Education/Training Program | Hennepin County Medical Center Emergency Medicine, 701 Park Avenue, Minneapolis, MN 55415 | 2018-04-20 |
| 1750888640 | Alexandra Rose Coward | Student in an Organized Health Care Education/Training Program | Hennepin County Medical Center - General Surgery, 701 Park Avenue, Minneapolis, MN 55415 | 2018-04-09 |
| 1194235861 | Gretchen Jane Vanderlinden-wang | Social Worker | Hennepin County Medical Center Adult Psychiatry Clinic, 701 Park Avenue, Shapiro Building, Suite S1.110, Minneapolis, MN 55415 | 2017-10-06 |
| 1720501117 | Dominique Lacha Jones | Advanced Practice Midwife | 716 South 7th Street, Purple Building Level 5, Minneapolis, MN 55415 | 2017-07-18 |
| 1669905618 | Joseph Douglas Steffens | Internal Medicine | 701 Park Avenue, Internal Medicine Residency Program, Hennepin County Medical Center, Minneapolis, MN 55415 | 2017-04-06 |
| 1215469689 | Michael Reitz | Student in an Organized Health Care Education/Training Program | 701 Park Avenue, B5.118, Minneapolis, MN 55415 | 2017-04-03 |
| Find all providers in zip 55415 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1285294611 | Brian Michael Laing | Dentist | 7-147 Moos Health Science Tower, 515 Delaware Street S.e., Minneapolis, MN 55455-0357 | 2019-06-18 |
| 1205366002 | Derek Miller | Dentist | 7-174 Moos Tower 515 Delaware St. S, U of M Oral Surgery, Minneapolis, MN 55455 | 2017-06-14 |
| 1114154143 | Reda Taleb | Dentist | 7-174 Moos Tower, 515 Delaware St Se, Minneapolis, MN 55455 | 2009-06-17 |
| 1891869293 | Andrew Richard Ballin | Dentist | 6053 Nicollet Ave, Minneapolis, MN 55419-2558 | 2006-11-17 |
| 1740353564 | Daniel A Larson | Dentist | 515 Delaware St Ne, 7th Floor Moos Tower, Minneapolis, MN 55455-0329 | 2006-11-17 |
| 1881620771 | Robert Allan Nadeau | Dentist | 515 Delaware St. Se, 7-174d Malcolm Moos Tower, Minneapolis, MN 55455 | 2006-06-23 |
| 1699745323 | Paul Christopher Tompach | Dentist | 515 Delaware Street Se, 7-174 Moos Health Sciences Tower, Minneapolis, MN 55455 | 2006-01-25 |
| 1922623834 | Mohammad Mujtaba Methani | Dentist | 515 Delaware Street Se, Moos Health Science Tower, Minneapolis, MN 55455 | 2020-06-16 |
| 1073013025 | Krista Primley | Dentist | 515 Delaware St Se, Minneapolis, MN 55455 | 2018-02-16 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55415 |
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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.