ARCHANA MANI


Address: 1021 Bandana Blvd E Ste 121, Saint Paul, MN 55108
Phone: 6512244969

ARCHANA MANI (NPI# 1700077344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700077344
Entity Type Individual
Full Name ARCHANA MANI
Credential DMD
Practice Address 1021 Bandana Blvd E Ste 121
Saint Paul
MN 55108
Mailing Address 1021 Bandana Blvd E Ste 121
Saint Paul
MN 55108-5128
Practice Telephone 6512244969
Practice Fax Number 6512238047
Mailing Telephone 6512244969
Mailing Fax Number 6512238047
Enumeration Date 2007-08-08
Last Update Date 2019-11-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223P0221X Dentist
Specialization: Pediatric Dentistry
S43 MN Dental Providers
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
9507 CO Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1021 Bandana Blvd E Ste 121, Saint Paul, MN 55108 6512244969 6512238047

Office Location

Street Address 1021 BANDANA BLVD E STE 121
City SAINT PAUL
State MN
Zip Code 55108

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194145573 Rachel Novotny Ecker Dentist 1021 Bandana Blvd E Ste 121, Saint Paul, MN 55108-5128 2014-04-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306490677 Kyle Leonard Bernier Student in an Organized Health Care Education/Training Program 1295 Bandana Blvd W, Suite 210, St. Paul, MN 55108 2019-07-25
1356870778 Kathleen Louise Kocon Marriage & Family Therapist 2230 Como Ave., Saint Paul, MN 55108 2017-06-08
1871965830 Jill Hansen Specialist 1449 Clevland Ave N, The Emily Program, Saint Paul, MN 55108 2015-10-29
1871821140 Angela Joyce Anderson Speech-Language Pathologist 2266 Hillside Avenue, Saint Paul, MN 55108 2009-11-25
1265769418 Dakota Baker Counselor 1360 Energy Park Drive Suite 340, St. Paul, MN 55108 2009-11-09
1255583449 Suzanne Elizabeth Trunnell Nurse Practitioner 1020 Bandana Blvd. W, Aspen Medical Group--bandana Square, St. Paul, MN 55108 2008-10-21
1982851358 Kimberly Joy Bahma Pharmacist 1295 Bandana Blvd, Suite 335, Saint Paul, MN 55108 2008-08-27
1952566093 Caring Professionals Homecare, LLC Home Health 1543 Como Ave Ste 101, Saint Paul, MN 55108 2008-07-28
1457554735 Catherine Lawrence Scharlau Psychologist 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 2007-06-06
1518178425 Steven M. Harris Marriage & Family Therapist 1985 Buford Ave., 290 Mcneal Hall, Saint Paul, MN 55108 2007-05-24
Find all providers in zip 55108

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194145573 Rachel Novotny Ecker Dentist 1021 Bandana Blvd E Ste 121, Saint Paul, MN 55108-5128 2014-04-23
1861654477 Metropolitan Pediatric Dental Associates, Ltd Dentist 1021 Bandana Blvd E, Suite 121, Saint Paul, MN 55108-5113 2008-06-26
1245389246 Metropolitan Pediatric Dental Associates, Ltd Dentist 1021 Bandana Blvd E, Suite 121, Saint Paul, MN 55108-5113 2007-01-09
1538218615 Christopher H Yue Dentist 411 Main St, Suite 400, Saint Paul, MN 55102-1080 2007-01-09
1134284235 Michael H Flamenbaum Dentist 1021 Bandana Blvd E, Suite 121, Saint Paul, MN 55108-5113 2006-12-27
1700986098 Brian Elmer Grove Dentist 1021 Bandana Blvd E, Suite 121, Saint Paul, MN 55108-5113 2006-09-25
1659473205 Thomas James Mccarter Dentist 1514 White Bear Ave N, Saint Paul, MN 55106-1624 2006-09-03
1275642894 Joshua Gordon Lipschultz Dentist 411 Main St, Suite 400, Saint Paul, MN 55102-1080 2006-08-29
1184691529 James D Nickman Dentist 411 Main St, Suite 400, Saint Paul, MN 55102-1080 2006-03-03
1215904008 Teresa L Fong Dentist 1021 Bandana Blvd E, Suite 121, Saint Paul, MN 55108-5113 2006-03-01
Find all providers in SAINT PAUL

Competitor

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City SAINT PAUL
Zip Code 55108

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Dataset Information

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.

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