Ryan T Pfundheller DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RYAN T PFUNDHELLER DDS PLLC

Doing business as

Smiles Plus Dental Care

Practice address

3060 Woodbury Dr
Woodbury, MN 55129-9617

Phone

(651) 427-4893

NPI assigned

Jun 27, 2023

Last updated

Jun 27, 2023By 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

Ryan Pfundheller, DDSNPI 1306218698

Title

Dentist

Phone

(715) 894-0445

Specialties & licenses 1

Addresses

Other names 1

• Smiles Plus Dental Care Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Timothy Pfundheller, D.D.S.

  • Dentist
  • Savage, MN
  • NPI 1306218698
  NPD Authorized official
• Annalise Lynch, RDH, DT

  • Dental Therapist
  • Woodbury, MN
  • NPI 1033729033
  NPD (past)

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1053097790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 WOODBURY DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551299617",
            "telephone_number": "715-894-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 WOODBURY DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551299617",
            "telephone_number": "651-427-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN T PFUNDHELLER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "PFUNDHELLER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "715-894-0445",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles Plus Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruby Leigh Russell
• Shannon M Rust, PT
• Ruti Transports
• Alyssa Paige Rutten
• Ryan L. Isaacson, O.D., PLLC
• Jaclyn Marie Ryan, PT, DPT
• Katelyn Jane Rykhus
• Katriana L Ryther
• S & K Alternatives, LLC (Foot Solutions)
• S & K Alternatives, LLC (Foot Solutions)

• General Practice Dentistry in Woodbury, MN
• Providers in Woodbury, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.