A.M Dental Professionals P.a
Organization Active NPI Dental Clinic/Center · Shakopee, MN
NPI 1124529334 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1124529334
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- D12357 (MN)
- Legal business name
- A.M DENTAL PROFESSIONALS P.A
- Practice address
- 1036 1St Ave E
Shakopee, MN 55379 - Phone
- (952) 445-6622
- Fax
- (952) 314-9610
- NPI assigned
- Feb 22, 2018
- Organization subpart
- No
Authorized official
- Name
- Ayesha Downs, BDS
- Title
- Owner
- Phone
- (952) 445-6220
Practitioners 3
-
Ayesha Downs, D.D.S
-
Nicholas Theodore Schulte, DDS, MPH
-
Andrea Wimmergren, DDS
National Provider Directory
Locations
1960 Cliff Lake Rd
Ste 127
Eagan, MN 55122
Phone (651) 681-1676
1036 1st Ave E
Shakopee, MN 55379
Phone (952) 445-6220
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | D12357 | MN | Yes |
Addresses
Primary practice location
1036 1St Ave E
Shakopee, MN 55379
Mailing address
1036 1St Ave E
Shakopee, MN 55379-1607
Phone (952) 445-6622
Other practice location 1
1960 Cliff Lake RD
127
Eagan, MN 55122
Phone (651) 681-1676
Other names
- PROGRESSIVE DENTAL
Other providers in Shakopee, MN
- A Way Out Recovery Inc
- Tammy Deloris Aaron
- Emily Aase-Hermel
- Ab Laboratories
- Iman Abdalla
- Bahja Abdi
All providers in Shakopee, MN · Dental Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.