CHANHASSEN SMILES DENTISTRY, PC (NPI# 1760852487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760852487 |
| Entity Type | Organization |
| Organization Name | CHANHASSEN SMILES DENTISTRY, PC |
| Other Organization Name | CHANHASSEN SMILES DENTISTRY |
| Practice Address |
190 Lake Drive E Suite 130 Chanhassen MN 55319 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 9523031737 |
| Practice Fax Number | 9529372761 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 9494741495 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |
| Authorized Official Name | DR. PAUL S GEBHART (OWNER) |
| Authorized Official Telephone | 9523031737 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Chanhassen Smiles Dentistry | Doing Business As Name - Organization |
| Street Address |
190 LAKE DRIVE E SUITE 130 |
| City | CHANHASSEN |
| State | MN |
| Zip Code | 55319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932383684 | Raymond T Hendrickson | Chiropractor | 10196 - 48 Street, Clear Lake, MN 55319 | 2007-12-18 |
| 1366063190 | Bennie Joe Kuhlmann | Chiropractor | 11567 42nd St Se, Clear Lake, MN 55319-9202 | 2020-05-04 |
| 1124640743 | Bennie Kuhlmann | Chiropractor | 11567 42nd St Se, Clear Lake, MN 55319-9202 | 2020-05-18 |
| 1295734994 | Janet E. Casey | Social Worker | 11959 77th St, Clear Lake, MN 55319-9420 | 2005-07-15 |
| 1366041378 | Jeanette Jean Foizie | Social Worker | 11109 127th St Se, Clear Lake, MN 55319-9491 | 2020-10-21 |
| 1831313451 | Dmt Home Health Service, LLC | Home Health | 4039 140th Ave, Clear Lake, MN 55319-9545 | 2007-04-13 |
| 1093856239 | Joelyn Marie Kloncz | Contractor | 9839 54th St, Clear Lake, MN 55319-9556 | 2007-02-09 |
| 1417487232 | Mailei Soare | Registered Nurse | 9383 127th St Se, Clear Lake, MN 55319-9575 | 2017-06-14 |
| 1821536616 | Suzanne Schwappach | Licensed Practical Nurse | 7084 100th Ave Se, Clear Lake, MN 55319-9607 | 2017-02-01 |
| 1043840036 | Kalie Wieber | Registered Nurse | 6566 River Rd Se, Clear Lake, MN 55319-9694 | 2020-01-19 |
| Find all providers in zip 55319 | ||||
| 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 |
|---|---|---|---|---|
| 1770190951 | Bluff Creek Dental Pllc | Dentist | 600 Market St Ste 130, Chanhassen, MN 55317-4570 | 2020-09-30 |
| 1194078584 | Kentaro Ishikawa | Dentist | 190 Lake Dr E, Ste 130, Chanhassen, MN 55317 | 2012-10-22 |
| 1649318619 | Richard C Axel. Dds, Pa | Dentist | 7935 Stone Creek Dr, #150, Chanhassen, MN 55317-4610 | 2007-02-02 |
| 1114097425 | Michael Jeffery Leonard | Dentist | 80 West 78th Street, Chanhassen, MN 55317 | 2006-11-08 |
| 1871545970 | Bradley Dean Lembke | Dentist | 480 W 78th St, Suite #116, Chanhassen, MN 55317-4527 | 2006-05-17 |
| 1891826020 | Tiffany Axel-weyandt | Dentist | 7935 Stone Creek Dr, Suite 150, Chanhassen, MN 55317-4610 | 2007-03-08 |
| 1164582284 | Terri Jo Trogen | Dentist | 480 W 78th St, Suite 107, Chanhassen, MN 55317-4527 | 2006-12-11 |
| 1851344659 | Jeffrey Robert Hall | Dentist | 480 W 78th St, Suite #116, Chanhassen, MN 55317-4527 | 2006-05-19 |
| 1538112180 | Chanhassen Dental | Dentist | 480 W 78th St, Suite #116, Chanhassen, MN 55317-4527 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001149 | Kalyan Chakravarthy Kondreddi | Dentist | 327 Western Ave Ste A, Fergus Falls, MN 56537-2403 | 2020-10-20 |
| 1821696022 | Wyoming Family Dental | Dentist | 5378 East Viking Blvd., Wyoming, MN 55092 | 2020-10-12 |
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1073128153 | Michael W Flinn Dds, Pa | Dentist | 200 Firewood Drive, Redwood, MN 56283 | 2020-09-15 |
| 1770196891 | Thomas J Hoeffel Dds Pa | Dentist | 2819 Hamline Ave N Ste 104, Roseville, MN 55113-7718 | 2020-08-28 |
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1679182687 | Downtown Dental Center Pllc | Dentist | 825 Nicollet Mall Ste 1427, Minneapolis, MN 55402-2703 | 2020-07-26 |
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1386252344 | Kacie Crowell Green | Dentist | 8900 Walnut St # 459, Rockford, MN 55373-5135 | 2020-07-16 |
| 1891303962 | Bryson Sloan Rushing | Dentist | 18 3rd St Sw Ste 300, Rochester, MN 55902-3022 | 2020-07-15 |
| Find all providers with the same taxonomy | ||||
| City | CHANHASSEN |
| Zip Code | 55319 |
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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.