CHARLES R BABST (NPI# 1679623029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679623029 |
| Entity Type | Individual |
| Full Name | CHARLES R BABST |
| Credential | DDS |
| Practice Address |
3617 W Arrowhead Rd Duluth MN 55811-4046 |
| Practice Telephone | 2187228377 |
| Practice Fax Number | 2187223117 |
| Mailing Telephone | 2187228377 |
| Mailing Fax Number | 2187223117 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2535 | WI | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
8277 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MINNESOTA BCBS | 1D109BA | 01 |
| MN | 786318700 | 05 | |
| WI | WISCONSIN MEDICAID | 33415500 | 01 |
| Street Address |
3617 W ARROWHEAD RD |
| City | DULUTH |
| State | MN |
| Zip Code | 55811-4046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629031273 | Brian R Landrigan | Dentist | 3617 W Arrowhead Rd, Suite 200, Duluth, MN 55811-4046 | 2006-04-06 |
| 1306185160 | Arrowhead Orthodontics PC | Dentist | 3617 W Arrowhead Rd, Suite 200, Duluth, MN 55811-4046 | 2013-02-13 |
| 1740514751 | Luke D Carlson | Dentist | 3617 W Arrowhead Rd, Duluth, MN 55811-4046 | 2009-09-23 |
| 1760716773 | Kirstin M Carlson | Dentist | 3617 W Arrowhead Rd, Duluth, MN 55811-4046 | 2009-09-23 |
| 1225264575 | Timothy Lee Morse | Dentist | 3617 W Arrowhead Rd, Duluth, MN 55811-4132 | 2009-06-01 |
| 1104976570 | Peter J Mayer | Dentist | 3617 W Arrowhead Rd, Duluth, MN 55811-4046 | 2007-01-10 |
| 1457401820 | Northern Oral & Maxillofacial Surgeons, Pa | Dentist | 3617 W Arrowhead Rd, Duluth, MN 55811-4046 | 2007-01-10 |
| 1760532139 | Marty J Espe | Dentist | 3617 W Arrowhead Rd, Duluth, MN 55811-4046 | 2007-01-10 |
| 1073663449 | Duncan R Puffer | Dentist | 3617 W Arrowhead Rd, Duluth, MN 55811-4046 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417515339 | Kyle Olson-merrick | Dentist | 320 W Myrtle St, Ste 100, Duluth, MN 55811 | 2019-06-05 |
| 1184288979 | Pdg, P.a. | Clinic/Center | 4891 Miller Truck Hwy., Suite 100, Hermantown, MN 55811 | 2019-04-26 |
| 1528589843 | Breanna Joy Greenly | Counselor | 4720 Burning Tree Road, Birch Tree Center, Duluth, MN 55811 | 2017-06-28 |
| 1396102398 | Debbie Christian | Registered Nurse | 4815 Burning Tree Rd Suite 100, Duluth, MN 55811 | 2016-01-21 |
| 1831556935 | Megan Marie Paris | Psychologist | 715 East Central Entrance, Duluth, MN 55811 | 2016-01-20 |
| 1740666908 | Angela Fedo | Physical Therapy Assistant | 2101 Trinity Rd, Duluth, MN 55811 | 2015-08-10 |
| 1649657479 | Kayla Stephenson | Specialist/Technologist | 5024 Morris Thomas Road, Hermantown, MN 55811 | 2015-04-30 |
| 1073918843 | Northern Lives Inc. | Assisted Living Facility | 4014 Trinity Road, Duluth, MN 55811 | 2014-10-23 |
| 1114326238 | Donald Hermanson | Specialist/Technologist | 801 Boulder Drive, Apt. 202, Duluth, MN 55811 | 2014-08-14 |
| 1679990857 | Jodie Little | Pharmacist | 801 W. Central Entrance, Shopko Pharmacy 2114, Duluth, MN 55811 | 2014-03-25 |
| Find all providers in zip 55811 | ||||
| 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 |
|---|---|---|---|---|
| 1598370454 | Karin Davis, Dmd, PC | Dentist | 3630 Savannah Pl Ste 250, Duluth, GA 30096-6394 | 2020-09-08 |
| 1922193770 | Thomas Richard Seidelmann | Dentist | 1000 E 1st St Ste 302, Duluth, MN 55805-2297 | 2006-10-04 |
| 1801981444 | John Rodman Cornell | Dentist | 1000 East First Street #302, Duluth, MN 55805-2297 | 2006-10-03 |
| 1750475299 | Paul Kevin Hodapp | Dentist | 1000 E 1st St Ste 108, Duluth, MN 55805-2297 | 2006-10-02 |
| 1255505996 | Scott Kenneth Varland | Dentist | 1000 E 1st St Ste 108, Duluth, MN 55805-2297 | 2008-04-14 |
| 1356528558 | Glen C Mcintosh D.d.s., P.C. | Dentist | 3400 Mcclure Bridge Road, Building G Suite B, Duluth, GA 30096 | 2008-01-30 |
| 1407059009 | Joby E. Jaberi | Dentist | 1000 E 1st St, Suite 302, Duluth, MN 55805-2297 | 2007-06-09 |
| 1104976570 | Peter J Mayer | Dentist | 3617 W Arrowhead Rd, Duluth, MN 55811-4046 | 2007-01-10 |
| 1457401820 | Northern Oral & Maxillofacial Surgeons, Pa | Dentist | 3617 W Arrowhead Rd, Duluth, MN 55811-4046 | 2007-01-10 |
| 1760532139 | Marty J Espe | Dentist | 3617 W Arrowhead Rd, Duluth, MN 55811-4046 | 2007-01-10 |
| Find all providers in DULUTH | ||||
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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.