Buffalo Family Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BUFFALO FAMILY DENTISTRY PLLC

Practice address

106 Center Dr
Buffalo, MN 55313-2956

Phone

(763) 458-3428

NPI assigned

Apr 30, 2024

Last updated

Apr 30, 2024By 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

Dr. Cassandra Lynn Grean, DDSNPI 1891142832

Title

DDS

Phone

(763) 682-6885

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Buffalo Family Dentistry

  • General Practice Dentistry
  • Buffalo, MN
  • NPI 1871228346
  NPPES parent name

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.

• Cassandra L Grean, DDS

  • Dentist
  • Maple Grove, MN
  • NPI 1891142832
  NPD Authorized official
• John Charles Stangl, DDS

  • Dentist
  • Buffalo, MN
  • NPI 1598771776
  NPD (past)

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1073360970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CENTER DR",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132956",
            "telephone_number": "763-458-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CENTER DR",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132956",
            "telephone_number": "763-458-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "GREAN",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "763-682-6885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Duane Brown, MD
• Buffalo Dental Center
• Buffalo Dental Group PA
• Buffalo Eye Clinic P a
• Buffalo Family Dentistry
• Buffalo Orthotics & Prosthetics, Inc.
• Andrew John Burgdorf, MD
• Casey Grant Burns, BS
• Kimberly Dawn Bursch-Tewalt, NP-C
• Eric Byrnes

• Dental Clinic/Center in Buffalo, MN
• Providers in Buffalo, 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 Apr 30, 2024; 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.