Birchwood Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BIRCHWOOD DENTAL, LLC

Doing business as

Birchwood Dental

Practice address

3356 Sherman CRT Ste 101
Eagan, MN 55121

Phone

(651) 994-1700

NPI assigned

Sep 28, 2020

Last updated

Sep 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly C Lenz

Title

Practice Manager

Phone

(651) 994-1700

Specialties & licenses 1

Addresses

Other names 1

• Birchwood Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel J. Carlson, D.D.S

  • General Practice Dentistry
  • Eagan, MN
  • NPI 1609971571
  NPD (past)

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1205443850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3356 SHERMAN CRT STE 101",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55121",
            "telephone_number": "651-994-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3356 SHERMAN CRT STE 101",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55121",
            "telephone_number": "651-994-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCHWOOD DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "LENZ",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "651-994-1700"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Birchwood Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Etasha Mukesh Bhatt, M.D.
• Latisha Bickford, PHARMD
• Jennifer Nicole Biesanz, MA
• Dylan August Bindman, MD
• Meagan M Binenstock, PT
• Birchwood Integrative Care Clinic, PLLC
• Katherine Stella Bird
• Zoe Ruth Birkholz
• Melvina Deneal Bissonette, M.D.
• Barbara Jean Bittner, MD

• General Practice Dentistry in Eagan, MN
• Providers in Eagan, 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 Sep 28, 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.