CHILDREN'S DENTAL SERVICES (NPI# 1669842662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669842662 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S DENTAL SERVICES |
| Practice Address |
229 W Lake St Chisholm MN 55719 |
| Mailing Address |
636 Broadway St Ne Minneapolis MN 55413-2164 |
| Practice Telephone | 6127461530 |
| Mailing Telephone | 6127461530 |
| Mailing Fax Number | 6127461531 |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2018-08-20 |
| Authorized Official Name | MS. SARAH WOVCHA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6127461530 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 636 Broadway St Ne, Minneapolis, MN 554132164 | 6127461530 | 6127461531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407224827 | Children's Dental Services | Dentist | 325 N Sibley Ave, Litchfield, MN 55355-2150 | 2015-09-02 |
| 1972987055 | Children's Dental Services | Dentist | 1004 Commercial Dr, Buffalo, MN 55313-1736 | 2015-07-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHILDREN'S DENTAL SERVICES | 636 Broadway St Ne, Minneapolis, MN 55413-2164 |
| Street Address |
229 W LAKE ST |
| City | CHISHOLM |
| State | MN |
| Zip Code | 55719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578992301 | E.h. Lawrence Co., Inc. | Contractor | 101 E. Iron Drive, Chisholm, MN 55719 | 2013-11-02 |
| 1184969529 | Heather Hope Halverson | Massage Therapist | 100 3rd Ave, Chisholm, MN 55719 | 2012-12-11 |
| 1881838878 | George M. Miks | Family Medicine | 319 Nw - 6th Ave, Chisholm, MN 55719 | 2009-04-22 |
| 1871658377 | Ind School Dis 695 | Local Education Agency (LEA) | 300 Sw 3rd Ave, Chisholm, MN 55719 | 2006-12-26 |
| 1811924772 | Kayla Miller Bechthold | Optometrist | 11 1st Ave Nw, Chisholm, MN 55719 | 2006-06-27 |
| 1528049624 | Harold Goodman Swennes IIi | Dentist | 217 N W 1 St, Chisolm, MN 55719 | 2005-11-07 |
| 1093876955 | Range Center, Inc | Intermediate Care Facility, Mentally Retarded | 1001 8th Ave Nw, Chisholm, MN 55719-1148 | 2006-12-13 |
| 1508814575 | Chisholm Health Center | Skilled Nursing Facility | 321 6th St Ne, Chisholm, MN 55719-1287 | 2006-05-04 |
| 1467972653 | Michael Joseph Mitchell | Physical Therapist | 321 6th St Ne, Chisholm, MN 55719-1287 | 2017-06-20 |
| 1205245156 | Christi Brooks | Occupational Therapist | 321 6th St Ne, Chisholm, MN 55719-1287 | 2014-08-05 |
| Find all providers in zip 55719 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076073 | Rae Ann Ann Swanson | Dentist | 755 Florida Ave S, Minneapolis, MN 55426-1784 | 2020-09-02 |
| 1083178149 | Lift Dental Pllc | Dentist | 124 2nd St S Ste 101, Stillwater, MN 55082-5179 | 2019-01-23 |
| 1407224827 | Children's Dental Services | Dentist | 325 N Sibley Ave, Litchfield, MN 55355-2150 | 2015-09-02 |
| 1194095778 | Matthew Allen Olson | Dentist | 715 11th St N Ste 106b, Moorhead, MN 56560-2000 | 2012-01-12 |
| 1801118039 | Omar Dyab Dds Pa | Dentist | 13590 Northdale Blvd, Suite 300, Rogers, MN 55374-2150 | 2010-02-15 |
| 1407973605 | Childrens Dental Services Inc | Dentist | 636 Broadway St. Ne, Minneapolis, MN 55413 | 2007-03-23 |
| 1437287679 | Mississippi Headwaters Area Dental Health Center, Inc. | Dentist | 616 America Ave Nw Ste 340, Attention Mary Marchell, Bemidji, MN 56601-3871 | 2007-03-01 |
| 1205991866 | Fergus Falls Dental Group | Dentist | 1121 Pebble Lake Rd, Fergus Falls, MN 56537 | 2006-12-26 |
| 1437238052 | Tracey Roseann Charles | Dentist | 9345 Calypso Trail Nw, Bemidji, MN 56601 | 2006-11-03 |
| 1386722585 | William Lynn Canada | Dentist | 619 Kay Ave Se, Bemidji, MN 56601-3638 | 2006-11-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHILDREN'S DENTAL SERVICES.
| 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.