Oakwood Dental Group, LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11443 Issued in MN

Legal business name

OAKWOOD DENTAL GROUP, LTD

Practice address

4100 Bellaire Ave
White Bear Lake, MN 55110-3910

Phone

(651) 426-0038

Fax

(651) 653-9923

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joy M Johnson, D.D.S.NPI 1831138114

Title

Vice President

Phone

(651) 426-0038

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.

• Joy M Johnson, D.D.S.

  • General Practice Dentistry
  • White Bear Lake, MN
  • NPI 1831138114
  NPD (past) Authorized official
• Ronald D Fletcher, D.D.S.

  • General Practice Dentistry
  • White Bear Lake, MN
  • NPI 1679525182
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194847657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 BELLAIRE AVE",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103910",
            "telephone_number": "651-426-0038",
            "fax_number": "651-653-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 BELLAIRE AVE",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103910",
            "telephone_number": "651-426-0038",
            "fax_number": "651-653-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOOD DENTAL GROUP, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "651-426-0038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "11443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Metro Intermediate School District 916
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• William Frederic Northrup III, M.D.
• Colleen Patrice O'Brien, L.AC.
• Mark Patrick Odland, MA, LMFT, MDIV
• Megan Oertel
• Olga Ivett Castro, DDS, PC
• Michael Olsen
• Demi Olson

• General Practice Dentistry in White Bear Lake, MN
• Providers in White Bear Lake, 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 Aug 22, 2020; 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.