Winsted Dental PLLC – Dental Clinic/Center

Key facts

NPI: 1194264408
Entity type: Organization (NPI type 2)
Primary specialty: Dental Clinic/Center 261QD0000X
Legal business name: WINSTED DENTAL PLLC
Practice address: 430 2ND St
Dassel, MN 55325
Phone: (320) 275-2954
Fax: (320) 275-5004
NPI assigned: Feb 20, 2017
Organization subpart: No

Authorized official

Name: Mrs. Pamela J Sandstede
Title: Director of Operations
Phone: (320) 275-2954

Practitioners 2

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

Todd Brewer, D.D.S. General Practice Dentistry · Dassel, MN · NPI 1124434295

NPD (past)
Kenneth D Ness, D.D.S General Practice Dentistry · Dassel, MN · NPI 1326148149

NPD (past)

National Provider Directory

Locations

430 2nd St
Dassel, MN 55325
Phone (320) 275-2954

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dental Clinic/Center	261QD0000X			Yes

Addresses

Primary practice location

430 2ND St
Dassel, MN 55325

Mailing address

430 2ND St
Dassel, MN 55325
Phone (320) 275-2954

Other names

Dassel Dental Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 20, 2017.

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1194264408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 2ND ST",
            "city": "DASSEL",
            "state": "MN",
            "postal_code": "55325",
            "telephone_number": "320-275-2954",
            "fax_number": "320-275-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 2ND ST",
            "city": "DASSEL",
            "state": "MN",
            "postal_code": "55325",
            "telephone_number": "320-275-2954",
            "fax_number": "320-275-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSTED DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "SANDSTEDE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "320-275-2954",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dassel Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dassel, MN

All providers in Dassel, MN · Dental Clinic/Center in Minnesota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.