Family Pediatric Dental Specialists PLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

FAMILY PEDIATRIC DENTAL SPECIALISTS PLC

Practice address

14336 Burnhaven Dr
Burnsville, MN 55306-4928

Phone

(952) 435-5715

NPI assigned

Sep 25, 2006

Organization subpart

Yes

Parent organization

FAMILY PEDIATRIC DENTAL SPECIALISTS PLCAs reported in NPPES

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

Authorized official

Name

Celia Hayes

Title

Credentialing Coordinator

Phone

(217) 540-2100

Specialties & licenses 1

Addresses

Other names 1

• Metro Dentalcare Children's Dentistry Burnsville Doing business as

Part of

Family Pediatric Dental Specialists PLC

Locations

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1013017177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14336 BURNHAVEN DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064928",
            "telephone_number": "952-435-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14336 BURNHAVEN DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064928",
            "telephone_number": "952-435-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PEDIATRIC DENTAL SPECIALISTS PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY PEDIATRIC DENTAL SPECIALISTS PLC",
        "enumeration_date": "2006-09-25",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Dentalcare Children's Dentistry Burnsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Orthodontic Specialists PLC
• Family Periodontic Specialists, PLC
• Family Smiles-Burnsville PLLC
• Family Steps, LLC
• Christopher Fan
• Aisha Mahad Faqid

• Pediatric Dentistry in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Pediatric Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.