East Valleydental, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D8510 Issued in MN

Legal business name

EAST VALLEYDENTAL, PA

Practice address

14050 Pilot Knob Rd
Suite 108
Apple Valley, MN 55124-6647

Phone

(952) 423-4414

Fax

(952) 423-7174

NPI assigned

Mar 10, 2008

Last updated

Mar 10, 2008By 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. Robert E. Thielman, D.D.S.NPI 1689695298

Title

Owner/General Dentist

Phone

(952) 423-4414

Specialties & licenses 1

Addresses

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.

• Robert Thielman, D.D.S.

  • General Practice Dentistry
  • Apple Valley, MN
  • NPI 1689695298
  NPD (past) Authorized official
• Shuchi Patel

  • Dentist
  • Apple Valley, MN
  • NPI 1073209359
  NPD (past)

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1144490723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 PILOT KNOB RD",
            "address_2": "SUITE 108",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246647",
            "telephone_number": "952-423-4414",
            "fax_number": "952-423-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14050 PILOT KNOB RD",
            "address_2": "SUITE 108",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246647",
            "telephone_number": "952-423-4414",
            "fax_number": "952-423-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEYDENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "THIELMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/GENERAL DENTIST",
        "authorized_official_telephone_number": "952-423-4414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D8510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Jhamilex Duta-Llangari, DDS
• Max Dutkin, MD
• Lindsey Dzurko
• Eagan Valley Dental Center
• Eagan Valley Pediatrics, P.a.
• Ashley Ebeling, PT, DPT
• Sally Ebeling
• Kelly Eckert
• Ecumen
• Ecumen (Ecumen Seasons at Apple Valley)

• Dental Clinic/Center in Apple Valley, MN
• Providers in Apple Valley, 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 Mar 10, 2008; 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.