Organization Active NPI

Synergy Dental LLC

  • Dental Clinic/Center
  • Apple Valley, MN
National Provider Identifier
1003482548
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SYNERGY DENTAL LLC
Practice address
15322 Galaxie Ave Ste 205
Apple Valley, MN 55124-3150
Phone
(612) 601-0050
NPI assigned
Jun 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Authorized official

Name
Erik Solberg, DDSNPI 1124373949
Title
DDS
Phone
(612) 601-0050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

15322 Galaxie Ave Ste 205
Apple Valley, MN 55124-3150

Mailing address

7491 165TH St E
Prior Lake, MN 55372-9325
Phone (612) 916-0759

Other names 1

  • Rise Dental Implant Center Doing business as

National Provider Directory

National Provider Directory

Locations

15322 Galaxie Ave
Ste 205
Apple Valley, MN 55124
Phone (612) 601-0050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1003482548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7491 165TH ST E",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553729325",
            "telephone_number": "612-916-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15322 GALAXIE AVE STE 205",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551243150",
            "telephone_number": "612-601-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "SOLBERG",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "612-601-0050",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rise Dental Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.