David Allan Engan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8751 Issued in MN

Practice address

9848 Lyndale Ave S
Bloomington, MN 55420-4731

Phone

(952) 888-3161

Fax

(952) 703-9632

NPI assigned

Apr 12, 2007

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.

• S and a Dental, PLLC

  • General Practice Dentistry
  • Bloomington, MN
  • NPI 1992467161
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235353012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14987 MANITOU RD NE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553721114",
            "telephone_number": "952-447-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9848 LYNDALE AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204731",
            "telephone_number": "952-888-3161",
            "fax_number": "952-703-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGAN",
        "first_name": "DAVID",
        "middle_name": "ALLAN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "8751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Margaret Delores Enebak
• McKenzie Enebo, BSN-RN, PHN
• Jackie Engebretson, PHD, LP
• Jennifer Lynn Engesether, D.C.
• Jon Brookson Engfer, MPS LADC CPRS
• Ava Elizabeth Engler
• Jill Marie Englund, PAC

• General Practice Dentistry in Bloomington, MN
• Providers in Bloomington, 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.