DR. SANDRA HUEBSCH KENNEDY (NPI# 1912070590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912070590 |
| Entity Type | Individual |
| Full Name | DR. SANDRA HUEBSCH KENNEDY |
| Credential | D,D,S, |
| Practice Address |
11800 Aberdeen St Ne Ste 110 Blaine MN 55449-4812 |
| Practice Telephone | 7637864280 |
| Practice Fax Number | 7637546226 |
| Mailing Telephone | 7637864280 |
| Mailing Fax Number | 7637546226 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D10866 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144548397 | Sandra Kay Kennedy | Nurse Practitioner | 4965 Beechwood Cir, Avon, IN 46123-4621 | 2010-05-12 |
| 1477079077 | Sandra Kennedy | Behavioral Analyst | 30 Buxton Farm Rd, Stamford, CT 06905-1224 | 2017-08-16 |
| 1306248091 | Sandra Kennedy | Registered Nurse | 3000 41st Street Ocean, Marathon, FL 33050-2373 | 2014-09-24 |
| 1770869281 | Sandra Joan Kennedy | Registered Nurse | 1233 N 30th St, Billings, MT 59101-0127 | 2011-10-27 |
| 1972811610 | Sandra Kennedy | Physical Therapist | 222 Acacia St, Fairfield, CA 94533-3800 | 2010-09-15 |
| 1225194855 | Sandra J. Kennedy | Nurse Practitioner | 140 Sw 146th St, Burien, WA 98166-1912 | 2006-12-28 |
| 1104904473 | Sandra Kennedy | Registered Nurse | 671 Hoes Ln, Piscataway, NJ 08854-5627 | 2006-11-02 |
| Street Address |
11800 ABERDEEN ST NE STE 110 |
| City | BLAINE |
| State | MN |
| Zip Code | 55449-4812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699140236 | Uyen Pham | Dentist | 11800 Aberdeen St Ne Ste 110, Blaine, MN 55449-4812 | 2015-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736368 | Landon Thomas Case | Dentist | 10729 Town Square Drive Ne, Ste 100, Blaine, MN 55449 | 2020-07-02 |
| 1881168441 | Ear Institutes, LLC | Otolaryngology | 4365 Pleasant Ridge Dr Ne, Suite 106, Blaine, MN 55449 | 2019-01-17 |
| 1841776242 | Kristin Broback | Nurse Practitioner | 10705 Town Square Dr Ne #100, Blaine, MN 55449 | 2018-07-18 |
| 1043719016 | Robin Lynn Broen | Registered Nurse | 3012 129th Ave Ne, Blaine, MN 55449 | 2018-02-06 |
| 1194197368 | Lund Health Professional Corporation | Chiropractor | 1360 101st Ave Ne, Suite 140, Blaine, MN 55449 | 2015-10-27 |
| 1871989806 | Blaine Wp II, LLC | Assisted Living Facility | 12402 Jamestown Street Ne, Blaine, MN 55449 | 2015-04-07 |
| 1154761633 | Jean Budge | Marriage & Family Therapist | 11800 Aberdeen Street Ne, Suite 100, Blaine, MN 55449 | 2013-06-28 |
| 1295013498 | Jeff K Yu | Veterinarian | 11850 Aberdeen St Ne, Blaine, MN 55449 | 2011-07-22 |
| 1528394707 | Julie Ann Eibensteiner | Physical Therapist | 11304 Davenport Circle Ne #a, Minneapolis, MN 55449 | 2009-10-23 |
| 1871725333 | Deborah Kathryn Zongo | Nurse Practitioner | 10190 Baltimore St Ne Ste 100, Blaine, MN 55449 | 2009-08-18 |
| Find all providers in zip 55449 | ||||
| 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 |
|---|---|---|---|---|
| 1730788498 | Modern Dental Professionals | Dentist | 676 County Road 10 Ne, Blaine, MN 55434-2329 | 2020-10-22 |
| 1033736368 | Landon Thomas Case | Dentist | 10729 Town Square Drive Ne, Ste 100, Blaine, MN 55449 | 2020-07-02 |
| 1396307161 | Marcellus Horsch | Dentist | 4255 Pheasant Ridge Dr Ne Ste 407, Blaine, MN 55449-5066 | 2019-07-02 |
| 1548641657 | Oluwakayode Adebola Olowoyo | Dentist | 4851 124th Ln Ne, Blaine, MN 55449-7302 | 2015-06-15 |
| 1467749671 | Michael Anthony Neary | Dentist | 1878 - 111th Ave. Ne, Blaine, MN 55449-5352 | 2011-07-08 |
| 1184959454 | Arif Nazir | Dentist | 10210 Baltimore St Ne, Suite 100, Blaine, MN 55449-6049 | 2009-10-05 |
| 1497982318 | Sarah Rose Latterell | Dentist | 10945 Ulysses St Ne, Blaine, MN 55434-4185 | 2009-06-18 |
| 1083884191 | Patrick Rooney D.d.s. P.s. | Dentist | 215 Marine Dr # 1, Blaine, WA 98230-4036 | 2008-03-04 |
| 1225233232 | Anita M Thomas | Dentist | 11949 Central Avenue Ne, Blaine, MN 55434-3911 | 2007-06-19 |
| 1790883130 | Don R Blakeslee | Dentist | 10155 University Ave Ne, Ste #112, Blaine, MN 55434-8020 | 2006-09-20 |
| Find all providers in BLAINE | ||||
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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.