Northwest Dental Center P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10978 Issued in MN

Legal business name

NORTHWEST DENTAL CENTER P.A.

Practice address

2226 Central Ave NE
Minneapolis, MN 55418-3708

Phone

(612) 788-3133

Fax

(612) 788-3133

NPI assigned

Apr 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. George Elias Demonakos, DDSNPI 1891931432

Title

Ceo

Phone

(612) 788-3133

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• George Elias Demonakos, DDS

  • Dentist
  • Minneapolis, MN
  • NPI 1891931432
  NPD (past) Authorized official

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093771248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 CENTRAL AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183708",
            "telephone_number": "612-788-3133",
            "fax_number": "612-788-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 CENTRAL AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183708",
            "telephone_number": "612-788-3133",
            "fax_number": "612-788-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST DENTAL CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEMONAKOS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ELIAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-788-3133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northstar Care Connections
• Northstar Health Initiative
• Northwest Anesthesia P.a.
• Northwest Anesthesia, P.a.
• Northwest Chiropractic P.a.
• Andrea K Northwood, PHD, LP
• Joel Dunstan Norton, PA
• Joseph Allan Norton, DO
• Laura Elaine Norton, M.D., M.S.
• Leslie O Norton, M.D.

• General Practice Dentistry in Minneapolis, MN
• Providers in Minneapolis, 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 Aug 22, 2020; 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.