Stat Dental, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

STAT DENTAL, INC

Doing business as

Emergency Dental Care USA

Practice address

2233 Hamline Ave N
Suite 432
Roseville, MN 55113-5009

Phone

(651) 778-9911

Fax

(651) 633-0146

NPI assigned

May 11, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Timothy J Giblette

Title

President

Phone

(612) 859-7359

Specialties & licenses 1

Addresses

Other names 1

• Emergency Dental Care USA Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003021239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15043 BRIDGEWATER DR",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553785618",
            "telephone_number": "612-859-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 HAMLINE AVE N",
            "address_2": "SUITE 432",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551135009",
            "telephone_number": "651-778-9911",
            "fax_number": "651-633-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIBLETTE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-859-7359",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Dental Care USA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Anthony Mental Health Clinic
• St. Paul Opticians, Inc.
• Meryl Stafford, PA-C
• Elia Stamboulieh
• Lara O Stanislaw, P.T.
• Tammy L Steece, R.N.
• Heidi Steinle, MS, CCC-SLP
• Marissa Joelle Stelzer, LPCC
• Kaili Jean Stevens, LADC
• Laura Stewart, PHARMD

• Dental Clinic/Center in Roseville, MN
• Providers in Roseville, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.