Jerome Edward Euteneuer, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8767 Issued in MN

Practice address

6545 France Ave S
Suite 270
Edina, MN 55435-2131

Phone

(952) 927-7744

Fax

(952) 927-5767

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jerome E. Euteneuer DDS PA

  • General Practice Dentistry
  • Edina, MN
  • NPI 1457411753
  NPD (past) Authorized official
• Magnolia Dental Care, PLLC

  • General Practice Dentistry
  • Edina, MN
  • NPI 1194328914
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164594115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 FRANCE AVE S",
            "address_2": "SUITE 270",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352131",
            "telephone_number": "952-927-7744",
            "fax_number": "952-927-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 FRANCE AVE S",
            "address_2": "SUITE 270",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352131",
            "telephone_number": "952-927-7744",
            "fax_number": "952-927-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUTENEUER",
        "first_name": "JEROME",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "8767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Murad Mohammed Essak
• Essential Living LLC
• Isabel E Essler, PA-C
• Esther Vogelzang MSW Licsw LLC
• Esthesia Oral Surgery Care, PA
• Evans Chiropractic PA
• Dean R Evans, D.C.
• Robert Evans, RPH
• Sarah Evans, PSYD, LP
• Evelyn Nerenberg

• 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 Jul 8, 2007; 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.