DR. KYNAN WESTERMEYER, DDS, PLLC (NPI# 1780989038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780989038 |
| Entity Type | Organization |
| Organization Name | DR. KYNAN WESTERMEYER, DDS, PLLC |
| Practice Address |
404 1st St. N Princeton MN 55371 |
| Mailing Address |
404 1st St Princeton MN 55371-1602 |
| Practice Telephone | 7633893320 |
| Practice Fax Number | 7636310662 |
| Mailing Telephone | 7633893320 |
| Mailing Fax Number | 7636310662 |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |
| Authorized Official Name | DR. KYNAN WESTERMEYER (CHIEF MANAGER) |
| Authorized Official Telephone | 7633893320 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
11514 | MN | Ambulatory Health Care Facilities |
| Street Address |
404 1ST ST. N |
| City | PRINCETON |
| State | MN |
| Zip Code | 55371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053962530 | Monica Gail Broten | Technician | 30840 Tiger Street Nw, Princeton, MN 55371 | 2019-09-25 |
| 1215349584 | Stephen Destefano | Pharmacist | 31419 131st Street, Princeton, MN 55371 | 2014-05-21 |
| 1164798948 | Andrew Sudbeck | Counselor | 101 18th Avenue North, Princeton, MN 55371 | 2012-03-27 |
| 1073804803 | Sterling Pointe Senior Living LLC | Assisted Living Facility | 1250 Northland Drive, Princeton, MN 55371 | 2011-04-27 |
| 1568752533 | Rum River Health Services, Inc. | Substance Abuse Rehabilitation Facility | 3079 90th Avenue, Princeton, MN 55371 | 2011-04-12 |
| 1275788085 | Cody James Leff | Pharmacist | 1100 11th Avenue South, Princeton, MN 55371 | 2008-11-20 |
| 1164679213 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1101 N 5th St, Princeton, MN 55371 | 2008-08-20 |
| 1801059639 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1506 1st Street, Princeton, MN 55371 | 2008-07-02 |
| 1497940928 | James Michael Mandt | Pharmacist | 911 Northland Drive, Fairview Northland Medical Center, Princeton, MN 55371 | 2007-09-07 |
| 1225194475 | Thomas L Nunnelee Inc | Eyewear Supplier (Equipment, not the service) | 900 Rum River Dr South, Suite 103, Princeton, MN 55371 | 2006-12-29 |
| Find all providers in zip 55371 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235468125 | Ac Dental of Princeton, PC | Clinic/Center | 3495 Route 1 S, Princeton, NJ 08540-5933 | 2009-12-23 |
| 1346264850 | Princeton Dental Care, Ltd. | Clinic/Center | 440 E Peru St, Princeton, IL 61356-2199 | 2006-07-27 |
| 1639588155 | Montgomery Pediatric Dentistry | Clinic/Center | 211 Commons Way, Princeton, NJ 08540-1508 | 2014-08-08 |
| 1134468556 | Rum River Health Services, Inc | Clinic/Center | 101 18th Ave N, Princeton, MN 55371-4756 | 2013-02-05 |
| 1063716991 | Hyungsoo Kim, D.m.d., P.C. | Clinic/Center | 3495 Us Highway 1, Princeton, NJ 08540-5933 | 2011-01-06 |
| 1891023230 | Lekha Tull D D S P C | Clinic/Center | 214 N Harrison St, Princeton, NJ 08540-3507 | 2009-11-23 |
| 1477786283 | Graber Family Dentistry | Clinic/Center | 901 S Main St, Princeton, IN 47670-2653 | 2009-08-26 |
| 1093988792 | Hubert H Byron, Dmd Inc | Clinic/Center | 202 S Walker St, Princeton, WV 24740-2747 | 2008-04-02 |
| 1821206780 | Prosthodontics of Princeton | Clinic/Center | 601 Ewing St, Suite B-4, Princeton, NJ 08540-2757 | 2007-05-21 |
| 1568465086 | John P. Lawlor, Dds, PC | Clinic/Center | 101 8th St, Princeton, IN 47670-1109 | 2005-05-30 |
| Find all providers in PRINCETON | ||||
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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.