CENTENNIAL LAKES DENTAL GROUP (NPI# 1801982111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801982111 |
| Entity Type | Organization |
| Organization Name | CENTENNIAL LAKES DENTAL GROUP |
| Practice Address |
7373 France Ave S Ste 500 Edina MN 55435-4551 |
| Practice Telephone | 9528312800 |
| Practice Fax Number | 9528315805 |
| Mailing Telephone | 9528312800 |
| Mailing Fax Number | 9528315805 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. JUDY SLAVIK (OFFICE MANAGER) |
| Authorized Official Telephone | 9528312800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972748721 | Centennial Lakes Dental Group | Dentist | 5851 Duluth St Ste 218, Golden Valley, MN 55422-3956 | 2008-12-09 |
| Street Address |
7373 FRANCE AVE S STE 500 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-4551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386717049 | Chad Brettingen | Dentist | 7373 France Ave S Ste 500, Edina, MN 55435-4551 | 2006-11-17 |
| 1043383797 | Craig Freeman | Dentist | 7373 France Ave S Ste 500, Edina, MN 55435-4551 | 2006-11-17 |
| 1790858447 | Steven Mahler | Dentist | 7373 France Ave S Ste 500, Edina, MN 55435-4551 | 2006-11-17 |
| 1508939240 | Alan D Mogck | Dentist | 7373 France Ave S Ste 500, Edina, MN 55435-4551 | 2006-11-17 |
| 1457424103 | Kerry Baumgartner | Dentist | 7373 France Ave S Ste 500, Edina, MN 55435-4551 | 2006-11-17 |
| 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 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982262721 | Sleep Well Twin Cities LLC | Dentist | 3400 W 66th St Ste 275, Edina, MN 55435-2156 | 2019-06-05 |
| 1275976797 | Marwa Gamam-forest | Dentist | 7550 France Ave S Ste 138, Edina, MN 55435-4761 | 2013-04-15 |
| 1700149630 | Roger Baumgartner | Dentist | 5547 Village Dr, Edina, MN 55439-1952 | 2012-06-15 |
| 1790967958 | Bashar Alkabbani | Dentist | 6545 France Ave S Ste 681, Edina, MN 55435-2127 | 2007-11-29 |
| 1184759953 | Lisa Kruchaski Thompson | Dentist | 7600 Parklawn, Ste 101, Edina, MN 55435 | 2007-02-22 |
| 1023143161 | David J Elasky Dds Pa | Dentist | 7600 Parklawn Ste 101, Edina, MN 55435-5125 | 2007-02-22 |
| 1194888735 | Drew Francis Spencer | Dentist | 3948 West 50th Street, Suite # 205, Edina, MN 55424-1253 | 2006-12-18 |
| 1851320121 | Michael Joseph Zingale | Dentist | 3930 Sunnyside Rd, Edina, MN 55424-1211 | 2006-06-30 |
| 1770534547 | Michael John Gitzen | Dentist | 5101 Vernon Avenue, Suite 1b, Edina, MN 55436 | 2006-05-15 |
| 1619953320 | Arlan Jay Winikoff | Dentist | 7373 France Ave S #500, Edina, MN 55435 | 2005-12-15 |
| Find all providers in EDINA | ||||
Please comment or provide details below to improve the information on CENTENNIAL LAKES DENTAL GROUP.
| 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.