Eagan Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9966 Issued in MN

Legal business name

EAGAN FAMILY DENTISTRY

Practice address

4178 Knob Dr Ste C
Eagan, MN 55122-1875

Phone

(651) 452-4317

Fax

(651) 452-2208

NPI assigned

Mar 13, 2007

Last updated

Aug 22, 2020By 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. Jeffrey A. Rud, D.D.S.NPI 1750433603

Title

President

Phone

(651) 452-4317

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Jeffrey Allen Rud, DDS

  • Dentist
  • Eagan, MN
  • NPI 1750433603
  Authorized official Same address or phone
• Angela K Hilo, DDS

  • Dentist
  • Eagan, MN
  • NPI 1770656415
  NPD (past)
• Alexander Joseph Rud, DMD

  • Dentist
  • Eagan, MN
  • NPI 1659996213
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144353780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4178 KNOB DR STE C",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221875",
            "telephone_number": "651-452-4317",
            "fax_number": "651-452-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4178 KNOB DR STE C",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221875",
            "telephone_number": "651-452-4317",
            "fax_number": "651-452-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGAN FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-452-4317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eagan Chiropractic, P.a.
• Eagan Counseling Clinic
• Eagan Dental Associates Dba Northwood Dental
• Eagan Eye Clinic LLC
• Eagan Family Chiropractic & Massage
• Eagan Hope Wellness Services LLC
• Eagan Ops LLC (Keystone Eagan)
• Eagan Orthopedic Surgery Center LLC
• Eagan Pointe Senior Living
• Eagan Psychotherapy LLC (Apricity Counseling and Wellness LLC)

• General Practice Dentistry in Eagan, MN
• Providers in Eagan, 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.