Dentists of Eden Prairie, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTISTS OF EDEN PRAIRIE, PC

Practice address

13000 Technology Dr
Suite 110
Eden Prairie, MN 55344-3606

Phone

(952) 562-1463

Fax

(952) 679-2025

NPI assigned

Feb 20, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Robert J Seymour, DMD

Title

Owner

Phone

(952) 562-1463

Specialties & licenses 1

Addresses

Other names 1

• Dentists of Eden Prairie 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.

• Atlanta Roloff, DDS

  • Dentist
  • Eden Prairie, MN
  • NPI 1073242244
  NPD (past)

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1255870531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 TECHNOLOGY DR",
            "address_2": "SUITE 110",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443606",
            "telephone_number": "952-562-1463",
            "fax_number": "952-679-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS OF EDEN PRAIRIE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "SEYMOUR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-562-1463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists of Eden Prairie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frederick E Demeuse, PAC
• Sophia Ann Demuth
• Laura Deng, DPT
• James E Denier, M.D.
• Dennis L Kaivo DDS PA
• Madeleine Grace Derbis
• Robert E Derr, DDS
• Chelsea Devoir, M.ED, BCBA
• Brandi Kaye Dewitt
• Ayan Mohyidin Dhore I

• General Practice Dentistry in Eden Prairie, MN
• Providers in Eden Prairie, 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 Mar 1, 2017; 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.