Active NPI
Dresen Restorative Dentistry, PA
- Dentist
- Cottage Grove, MN
National Provider Identifier
1114333986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D10827
- Legal business name
- DRESEN RESTORATIVE DENTISTRY, PA
- Practice address
- 6936 Pine Arbor Dr S
Suite 210
Cottage Grove, MN 55016-4645 - Phone
- (651) 735-1585
- NPI assigned
- Jul 1, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas Matthew Dresen, DDS
- Title
- President
- Phone
- (651) 735-1585
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D10827 | MN | Primary |
Addresses
Primary practice location
6936 Pine Arbor Dr S
Suite 210
Cottage Grove, MN 55016-4645
Mailing address
6936 Pine Arbor Dr S
Suite 210
Cottage Grove, MN 55016-4645
Phone (651) 735-1585
National Provider Directory
National Provider DirectoryLocations
324 W Superior St
Ste 1008
Duluth, MN 55802
Phone (218) 722-1244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404172800000",
"number": "1114333986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6936 PINE ARBOR DR S",
"address_2": "SUITE 210",
"city": "COTTAGE GROVE",
"state": "MN",
"postal_code": "550164645",
"telephone_number": "651-735-1585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6936 PINE ARBOR DR S",
"address_2": "SUITE 210",
"city": "COTTAGE GROVE",
"state": "MN",
"postal_code": "550164645",
"telephone_number": "651-735-1585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRESEN RESTORATIVE DENTISTRY, PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-01",
"last_updated": "2014-07-01",
"status": "A",
"authorized_official_last_name": "DRESEN",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "MATTHEW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "651-735-1585",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "MN",
"license": "D10827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cottage Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.