NPIMap

Organization Active NPI

St Paul Dental Center LLC

  • General Practice Dentistry
  • Saint Paul, MN
National Provider Identifier
1033385653
Registry record updated May 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ST PAUL DENTAL CENTER LLC
Practice address
30 7TH St E
Suite 101
Saint Paul, MN 55101-4914
Phone
(651) 227-6646
Fax
(651) 227-6523
NPI assigned
May 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2008

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

Authorized official

Name
Mary Jo Kurtz
Title
Office Manager
Phone
(651) 227-6646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

30 7TH St E
Suite 101
Saint Paul, MN 55101-4914

Mailing address

30 7TH St E
Suite 101
Saint Paul, MN 55101-4914
Phone (651) 227-6646

National Provider Directory

National Provider Directory

Locations

30 7th St E
Ste 101
Saint Paul, MN 55101
Phone (651) 222-1201

Practitioners & affiliated clinicians

Practitioners 3

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": "1209772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209772800000",
    "number": "1033385653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 7TH ST E",
            "address_2": "SUITE 101",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551014914",
            "telephone_number": "651-227-6646",
            "fax_number": "651-227-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 7TH ST E",
            "address_2": "SUITE 101",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551014914",
            "telephone_number": "651-227-6646",
            "fax_number": "651-227-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PAUL DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-03",
        "last_updated": "2008-05-03",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "651-227-6646"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2008; 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.