Twin Cities Periodontics

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D11998 Issued in MN

Legal business name

TWIN CITIES PERIODONTICS

Practice address

6600 Excelsior Blvd Ste 180
St Louis Park, MN 55426-4713

Phone

(952) 935-9009

Fax

(952) 935-1006

NPI assigned

Dec 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Anthony J Skinner, DDSNPI 1114089315

Title

Owner

Phone

(952) 935-9009

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Anthony John Skinner, DDS

  • Periodontics
  • St Louis Park, MN
  • NPI 1114089315
  NPD (past) Authorized official
• William P Frantzich, DDS, MSD

  • Oral and Maxillofacial Surgery (Dentist)
  • St Louis Park, MN
  • NPI 1982766176
  NPD (past)

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1174706865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 EXCELSIOR BLVD STE 180",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264713",
            "telephone_number": "952-935-9009",
            "fax_number": "952-935-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 EXCELSIOR BLVD STE 180",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264713",
            "telephone_number": "952-935-9009",
            "fax_number": "952-935-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES PERIODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-935-9009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MN",
            "license": "D11998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Worawan C Turner, PSY.D, L.P.
• Kari Joy Turybury, RD LD
• Jollien Tushabe
• Kathleen Twiford
• Twin Cities Lighthouse Therapy, LLC
• Twin Cities TMJ & Facial Pain Clinic, LTD.
• Mary Ann Tyler
• Jan Tyson Roberts, PH.D.
• Michelle A Ugalde, PT-DPT
• Katharine Anna Uganski, DO

• Periodontics in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Periodontics in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.