UNIVERSITY OF MINNESOTA PEDIATRIC DENTAL CLINIC


Address: 701 25th Ave S, Suite 400, Minneapolis, MN 55454-1513
Phone: 6516594900

UNIVERSITY OF MINNESOTA PEDIATRIC DENTAL CLINIC (NPI# 1992075287) 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) 1992075287
Entity Type Organization
Organization Name UNIVERSITY OF MINNESOTA PEDIATRIC DENTAL CLINIC
Practice Address 701 25th Ave S
Suite 400
Minneapolis
MN 55454-1513
Practice Telephone 6516594900
Practice Fax Number 6516594901
Mailing Telephone 6516594900
Mailing Fax Number 6516594901
Enumeration Date 2012-01-04
Last Update Date 2013-06-05
Authorized Official Name MARY A JOHNSON (COO)
Authorized Official Telephone 6128840802
Is Organization Subpart Y
Parent Organization Name UMPHYSICIANS

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist Dental Providers

Office Location

Street Address 701 25TH AVE S
SUITE 400
City MINNEAPOLIS
State MN
Zip Code 55454-1513

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881687119 Paparella Ear Head & Neck Institute Pa Otolaryngology 701 25th Ave S, Ste 200, Minneapolis, MN 55454-1513 2005-08-23
1386259489 Kelsey E Forbes Physician Assistant 701 25th Ave S, Minneapolis, MN 55454-1513 2020-09-15
1972118016 Jacob Ginther Student in an Organized Health Care Education/Training Program 701 25th Ave S, Minneapolis, MN 55454-1513 2020-09-15
1174138275 Katie Ann Schmitz Physician Assistant 701 25th Ave S, Minneapolis, MN 55454-1513 2020-09-15
1497360556 David Botros Student in an Organized Health Care Education/Training Program 701 25th Ave S, Minneapolis, MN 55454-1513 2020-09-14
1114532272 Yadira Landeros De Santiago Student in an Organized Health Care Education/Training Program 701 25th Ave S, Minneapolis, MN 55454-1513 2020-09-14
1487293742 Maria Mccoshen Student in an Organized Health Care Education/Training Program 701 25th Ave S, Minneapolis, MN 55454-1513 2020-01-03
1992358337 Brittany Granoski Dentist 701 25th Ave S, Minneapolis, MN 55454-1513 2019-07-23
1427400365 Hayley Galit Faulkner Student in an Organized Health Care Education/Training Program 701 25th Ave S, Suite 400, Minneapolis, MN 55454-1513 2016-07-04
1326496399 Sophia Huynh Dentist 701 25th Ave S, Suite 400, Minneapolis, MN 55454-1513 2016-05-31
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194341842 Bruce Zhang Student in an Organized Health Care Education/Training Program 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 2020-06-18
1205456738 Sara Segner Student in an Organized Health Care Education/Training Program Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 2020-04-24
1417576844 Sabena Khan Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 2020-04-15
1811525983 Kayla Joy Solstad Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 2020-04-01
1720647126 Lauren Harasymiw Student in an Organized Health Care Education/Training Program Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 2019-06-10
1689237448 Katelyn Marie Adams Student in an Organized Health Care Education/Training Program Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 2019-04-17
1285197848 Adrienne Bruder Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 2019-04-10
1588142855 Stewart Graeme Morrison Student in an Organized Health Care Education/Training Program Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 2018-07-30
1831682251 Sherab Tsheringla Student in an Organized Health Care Education/Training Program 2450 Riverside Avenue South, Minneapolis, MN 55454 2018-06-11
1669962148 Pooja Elizabeth Mishra Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 2018-05-10
Find all providers in zip 55454

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841850278 Brendan Andrew Schleyer Dentist 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 2019-06-18
1871150417 Muktar Farah Dentist 115 Broadway St Ne, Minneapolis, MN 55413-1805 2019-05-20
1831665603 White Smiles Family Dentistry Pllc Dentist 1611 County Hwy 10, Minneapolis, MN 55432 2018-10-19
1861975245 Sara Tejani Dentist 2232 Hennepin Ave. S., Minneapolis, MN 55405 2018-09-11
1811483795 Minnesota Durable Medical Equipment LLC Dentist 15600 36th Ave N Ste 270, Minneapolis, MN 55446-3372 2018-07-03
1871010165 Mayank Shrivastava Dentist 515 Delaware St Se # 6-320, Minneapolis, MN 55455-0357 2017-08-28
1659808079 Christopher David Carvalho Dentist 515 Delaware St Se Fl 7, Minneapolis, MN 55455-0357 2017-05-16
1821449133 Yannie Chea Dentist 616 Washington Ave Se Apt 213, Minneapolis, MN 55414-2998 2016-06-28
1245688969 Daniel Jabs Dentist 7-368 Moos Tower, 515 Delaware St Se, Minneapolis, MN 55455 2016-06-03
1780039263 Ursula Mcguckin Dentist 825 Nicollet Avenue #1025, Minneapolis, MN 55402 2016-05-03
Find all providers in MINNEAPOLIS

Competitor

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City MINNEAPOLIS
Zip Code 55454

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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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