NPIMap

Organization Active NPI

Sawyer Dental LLC

Doing business as Mendota Dental Associates

  • Dentist
  • Mendota Heights, MN
National Provider Identifier
1144696063
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SAWYER DENTAL LLC
Doing business as
Mendota Dental Associates
Practice address
720 Main St
Suite 213
Mendota Heights, MN 55118-1800
Phone
(651) 209-9219
Fax
(651) 454-1405
NPI assigned
Aug 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Authorized official

Name
Dr. Stephen Michael Sawyer, DDSNPI 1043379514
Title
Chief Manager
Phone
(651) 209-9219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

720 Main St
Suite 213
Mendota Heights, MN 55118-1800

Mailing address

720 Main St
Suite 213
Mendota Heights, MN 55118-1800
Phone (651) 209-9219

Other names 1

  • Mendota Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

720 Main St
Ste 213
Mendota Heights, MN 55118
Phone (651) 209-9219

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1144696063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 MAIN ST",
            "address_2": "SUITE 213",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551181800",
            "telephone_number": "651-209-9219",
            "fax_number": "651-454-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MAIN ST",
            "address_2": "SUITE 213",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551181800",
            "telephone_number": "651-209-9219",
            "fax_number": "651-454-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAWYER DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "SAWYER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "651-209-9219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mendota Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mendota Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.