NPIMap

Organization Active NPI

Family & Cosmetic Gentle Dentistry, LTD

  • General Practice Dentistry
  • Maplewood, MN
National Provider Identifier
1235429267
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FAMILY & COSMETIC GENTLE DENTISTRY, LTD
Practice address
1714 Cope Ave E
Maplewood, MN 55109-2664
Phone
(651) 770-0055
Fax
(952) 224-9790
NPI assigned
Apr 11, 2011
Organization subpart
Yes
Parent organization
FAMILY & COSMETIC GENTLE DENTISTRY, LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Diana M Bednar
Title
Operations Manager
Phone
(952) 224-9771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X MN Primary

Addresses

Primary practice location

1714 Cope Ave E
Maplewood, MN 55109-2664

Mailing address

6600 France Ave S
Suite 415
Edina, MN 55435-1805
Phone (651) 770-0055

National Provider Directory

National Provider Directory
Tax ID family
Family Cosmetic Gentle Dentistry LTD16 organizations share this tax ID, including this one
Part of
Family Cosmetic Gentle Dentistry LTD

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1235429267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S",
            "address_2": "SUITE 415",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351805",
            "telephone_number": "651-770-0055",
            "fax_number": "952-224-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 COPE AVE E",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092664",
            "telephone_number": "651-770-0055",
            "fax_number": "952-224-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY & COSMETIC GENTLE DENTISTRY, LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY & COSMETIC GENTLE DENTISTRY, LTD",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "BEDNAR",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "952-224-9771"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.