ESTHESIA ORAL SURGERY CARE, PA (NPI# 1780855171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780855171 |
Entity Type | Organization |
Organization Name | ESTHESIA ORAL SURGERY CARE, PA |
Practice Address |
3400 W 66th St Suite 270 Edina MN 55435-2111 |
Practice Telephone | 9529203844 |
Practice Fax Number | 9529203008 |
Mailing Telephone | 9529203844 |
Mailing Fax Number | 9529203008 |
Enumeration Date | 2008-03-13 |
Last Update Date | 2008-03-13 |
Authorized Official Name | DR. THOMAS MAURICE KEANE JR. (OWNER/ORAL SURGEON) |
Authorized Official Telephone | 9529203844 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
9671 | MN | Dental Providers |
Street Address |
3400 W 66TH ST SUITE 270 |
City | EDINA |
State | MN |
Zip Code | 55435-2111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821094392 | Lisa T Ley | Physician Assistant | 3400 W 66th St, Ste 385, Edina, MN 55435-2197 | 2005-06-21 |
1033689674 | Nicholas Roffers | Speech-Language Pathologist | 3400 W 66th St, Edina, MN 55435-2111 | 2018-11-27 |
1003351156 | Lindsay Kuphal | Nurse Practitioner | 3400 W 66th St, Edina, MN 55435-2111 | 2016-12-28 |
1326410580 | Jody Bishop | Hearing Instrument Specialist | 3400 W 66th St, Ste 140, Edina, MN 55435-2109 | 2015-10-28 |
1730555889 | Danielle Bandholz | Nurse Practitioner | 3400 W 66th St, Suite 290, Edina, MN 55435-2111 | 2015-08-12 |
1780067033 | Katherine Marie Breezley | Registered Nurse | 3400 W 66th St, Edina, MN 55435-2111 | 2015-07-06 |
1861885881 | Connect Hearing, Inc. | Audiologist | 3400 W 66th St, Ste 140, Edina, MN 55435-2111 | 2015-03-16 |
1124419825 | Lauren Christine Bloomgren | Hearing Instrument Specialist | 3400 W 66th St, Suite 140, Edina, MN 55435-2111 | 2015-02-17 |
1346657160 | Fairview Health Services | Family Medicine | 3400 W 66th St, Suite 290, Edina, MN 55435-2111 | 2014-07-14 |
1821437955 | Sarah Watkins Lee | Registered Nurse | 3400 W 66th St, 290, Edina, MN 55435-2111 | 2013-06-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
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Taxonomy Code | 1223P0106X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Pathology |
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609844760 | Daniel Joseph Gatto | Dentist | 9950 Valley Creek Rd, Woodbury, MN 55125-4883 | 2006-03-14 |
1194702647 | James Immanuel Midtling | Dentist | 155 Wabasha St S, Suite #111, Saint Paul, MN 55107-1801 | 2005-12-27 |
1891786224 | Thomas Maurice Keane Jr. | Dentist | 8900 Penn Ave So., Suite 211, Bloomington, MN 55431 | 2005-11-03 |
1669461554 | James Barthel | Dentist | 925 Highway 55, Ste 202, Hastings, MN 55033-3734 | 2005-10-14 |
1912996802 | Michael Downie | Dentist | 8480 Woodbury Xing Ste 120, Woodbury, MN 55125-9406 | 2005-10-14 |
1801881370 | Abdollah Rahimi | Dentist | 15600 36th Ave N, Suite 100, Plymouth, MN 55446-3369 | 2005-09-12 |
1992703987 | James P Hughes | Dentist | 50 W 2nd St, Suite 201, Winona, MN 55987-3440 | 2005-07-13 |
1821185844 | Anupama Grandhi | Dentist | 1720 Highway 59 S, Thief River Falls, MN 56701-4331 | 2006-10-10 |
1598865651 | Family Oral Surgery Specialists Plc | Dentist | 6601 Lyndale Ave S, Suite 220, Richfield, MN 55423-2477 | 2006-09-25 |
1588767461 | Gregory Warren Hueler | Dentist | 13875 Hwy 13 Frontage Rd, Suite 50, Savage, MN 55378 | 2006-09-06 |
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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.