Tweet Pediatric Dentistry, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D12562 Issued in MN

Legal business name

TWEET PEDIATRIC DENTISTRY, PLLC

Practice address

2665 W 78TH St
Chanhassen, MN 55317-4502

Phone

(612) 834-1664

NPI assigned

Dec 20, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Tori Conrad, DDS

Title

President

Phone

(612) 834-1664

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1144599135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 S 6TH ST",
            "address_2": "SUITE 1242",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554021508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 W 78TH ST",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174502",
            "telephone_number": "612-834-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWEET PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "TORI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-834-1664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "D12562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Elise Tollefsrud
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• Terri Jo Trogen, DDS
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• Georgia Underwood-Wright
• Kari Leah Vacinek, M.S.W., L.I.C.S.W
• Hana Marie Vander Galien
• Jason A Varin, PHARM.D.
• Marcie Michelle Vaske

• Pediatric Dentistry in Chanhassen, MN
• Providers in Chanhassen, MN by specialty
• Pediatric Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.