Dulac Dental LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10883 Issued in MN

Legal business name

DULAC DENTAL LTD

Practice address

6550 York Ave S Ste 202
Edina, MN 55435-2333

Phone

(952) 925-2176

NPI assigned

Jan 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jill Margaret Dulac, DDSNPI 1184712275

Title

Owner

Phone

(952) 925-2176

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.

• Jill Margaret Dulac, D.D.S.

  • General Practice Dentistry
  • Edina, MN
  • NPI 1184712275
  NPD (past) Authorized official
• Jerome Dermott Dulac, DDS

  • General Practice Dentistry
  • Edina, MN
  • NPI 1598871600
  NPD (past)

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1154568293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 YORK AVE S STE 202",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352333",
            "telephone_number": "952-925-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 YORK AVE S STE 202",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352333",
            "telephone_number": "952-925-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DULAC DENTAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "DULAC",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-925-2176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Munira Ali Dualeh, NONE
• Carol Marie Dubbels, MPT
• Laurence George Ducker, MD
• Andre J Duerinckx, MD PHD
• Courtney L Duffy, PA-C
• Jerome Dermott Dulac, DDS
• Jill Margaret Dulac, D.D.S.
• Ann Marie Dulen, PT
• Elizabeth Kaye Dumke, MS, LPCC, ATR
• Heidi Leigh Dummer, LICSW, OTR/L

• General Practice Dentistry in Edina, MN
• Providers in Edina, 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 Jan 12, 2009; 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.