DR. MAISEE MOUA-MCDANIEL


Address: 1313 Penn Ave N, Minneapolis, MN 55411-3047
Phone: 6125432500

DR. MAISEE MOUA-MCDANIEL (NPI# 1831755776) 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) 1831755776
Entity Type Individual
Full Name DR. MAISEE MOUA-MCDANIEL
Credential DDS
Practice Address 1313 Penn Ave N
Minneapolis
MN 55411-3047
Mailing Address 4497 Evergreen Dr
Vadnais Heights
MN 55127-3626
Practice Telephone 6125432500
Practice Fax Number 6123024872
Mailing Telephone 6518944202
Enumeration Date 2019-05-16
Last Update Date 2019-05-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
D14178 MN Dental Providers

Office Location

Street Address 1313 PENN AVE N
City MINNEAPOLIS
State MN
Zip Code 55411-3047

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023095627 Brownell Mack IIi Psychologist 1313 Penn Ave N, Minneapolis, MN 55411-3047 2005-12-27
1548723364 Zadok Nampala Social Worker 1313 Penn Ave N, Minneapolis, MN 55411-3047 2019-04-09
1013477348 Lanette Howze Community Health Worker 1313 Penn Ave N, Minneapolis, MN 55411-3047 2019-03-22
1043792666 John Gatermann Psychologist 1313 Penn Ave N, Minneapolis, MN 55411-3047 2018-08-30
1346729308 Safiya Ahmed Abdullahi Dentist 1313 Penn Ave N, Minneapolis, MN 55411-3047 2018-08-10
1720576788 Rachel Marie Freyberger Psychologist 1313 Penn Ave N, Minneapolis, MN 55411-3047 2018-04-25
1902316821 Vivian Ballah-swaray Psychologist 1313 Penn Ave N, Minneapolis, MN 55411-3047 2017-10-05
1578080537 Dal Vang Xiong Registered Nurse 1313 Penn Ave N, Minneapolis, MN 55411-3047 2017-08-29
1184164337 Shakeyla Barber Dentist 1313 Penn Ave N, Minneapolis, MN 55411 2017-03-06
1316499551 Cierra Shamar Alston Counselor 1313 Penn Ave N, Minneapolis, MN 55411-3047 2016-11-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477101483 Minnesota Mental Health Solutions Social Worker 1007 W Broadway Ave Ste 200, Minneapolis, MN 55411 2019-09-03
1154980233 Access Group Home LLC Home Health 1122 Upton Ave N, Minneapolis, MN 55411 2019-06-11
1780036202 Marcia Karen Powless Registered Nurse 2339 River Pointe Lane, Minneapolis, MN 55411 2016-07-08
1104287663 Abdikarim Abdille Contractor 521 Lyn Park Cir N, Minneapolis, MN 55411 2016-03-11
1962801399 Olu's Center Clinic/Center 1315 12th Ave N, Minneapolis, MN 55411 2014-08-21
1689086639 Claudia Alejandra Patino Gonzalez Student in an Organized Health Care Education/Training Program 1020 West Broadway Avenue, Minneapolis, MN 55411 2014-05-27
1306283445 Advanced Home Care Home Health 3000 Logan Ave N, Minneapolis, MN 55411 2013-05-30
1154766525 Bassim Samadani Birkland Student in an Organized Health Care Education/Training Program Broadway Clinic, 1020 West Broadway, Minneapolis, MN 55411 2013-04-30
1720354004 New Salem Metormorphosis Youth Program Counselor 2509 Bryant Ave North, Minneapolis, MN 55411 2012-03-30
1629387469 Apose Home Health 2806 Girard Ave. North, Minneapolis, MN 55411 2010-09-28
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1124684725 Eric James Holthaus Dentist 825 Nicollet Ave #1025, Minneapolis, MN 55402 2019-05-20
1154811404 Mohamed Mukhtar Ali Dentist 4700 Cedar Ave S, Minneapolis, MN 55407 2018-05-12
1154828283 Ari Michael Lederman Dentist 825 Nicollet Mall Ste 425, Minneapolis, MN 55402-2608 2018-04-05
1730604877 Daryl Grigsby Jr. Dentist 515 Delaware St Se # 8-166, Minneapolis, MN 55455-0357 2017-08-10
1033630371 Margaret Elizabeth Craven Dentist 250 2nd Ave S Ste 250, Minneapolis, MN 55401-2173 2017-06-27
1013330661 Helen Oboro-onuora Dentist 606 24th Ave S Suite 200, Umphysicians Dental Clinic, Minneapolis, MN 55454 2014-01-31
1548690001 Patrick J. Foy Dds,pa Dentist 606 24th Ave S Ste 806, Minneapolis, MN 55454-1438 2013-11-20
1659719078 Deanna Miller Dentist 3428 20th Ave S, Minneapolis, MN 55407-2408 2013-06-07
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Competitor

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City MINNEAPOLIS
Zip Code 55411

Improve Information

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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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