DENTISTS OF WOODBURY, PC (NPI# 1972165678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972165678 |
| Entity Type | Organization |
| Organization Name | DENTISTS OF WOODBURY, PC |
| Practice Address |
7150 Valley Creek Plz Ste 230 Woodbury MN 55125-2271 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 6512178296 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |
| Authorized Official Name | DR. MITCHELL C WILKINSON (OWNER/DDS) |
| Authorized Official Telephone | 6512178296 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Dentists of Woodbury | Doing Business As Name - Organization |
| Street Address |
7150 VALLEY CREEK PLZ STE 230 |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-2271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| 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 |
|---|---|---|---|---|
| 1699393942 | Danika Elizabeth Jackson | Dentist | 237 Radio Dr Ste 110, Woodbury, MN 55125-4478 | 2020-07-13 |
| 1174095319 | Asnis Dental, Pllc | Dentist | 800 Woodbury Rd Ste E, Woodbury, NY 11797-2503 | 2018-12-28 |
| 1912498148 | Woodbury Sleep Solutions Pa | Dentist | 2070 Eagle Creek Ln Ste 300, Woodbury, MN 55129-3218 | 2018-05-23 |
| 1134619117 | Christopher Schweiger | Dentist | 580 Woodbury Dr Ste 300, Woodbury, MN 55125-4949 | 2018-05-15 |
| 1083090641 | Daniela Haase | Dentist | 429 Commerce Dr, #400, Woodbury, MN 55125-6600 | 2015-08-06 |
| 1669864211 | Tamer Barsom | Dentist | 360 Fairhaven Blvd, Woodbury, NY 11797-1628 | 2015-02-19 |
| 1417347006 | Daniel Kim | Dentist | 800 Woodbury Rd Ste B, Woodbury, NY 11797-2503 | 2015-02-03 |
| 1548659824 | Woodbury Smiles Dentistry, PC | Dentist | 580 Woodbury Dr, Suite 300, Woodbury, MN 55125-4948 | 2015-01-09 |
| 1740696327 | Kathryn Connell | Dentist | 8325 Seasons Pkwy Ste 103, Woodbury, MN 55125-3602 | 2014-07-03 |
| 1366875650 | Savita Huded | Dentist | 2 Bristol Dr, Woodbury, NY 11797-3111 | 2013-08-09 |
| Find all providers in WOODBURY | ||||
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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.