Community Dental Care Inc
Organization Active NPI General Practice Dentistry · Buffalo, MN
NPI 1275280810 · NPPES record last updated Mar 3, 2022
Key facts
- NPI
- 1275280810
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- COMMUNITY DENTAL CARE INC
- Practice address
- 3650 Braddock Ave NE
Buffalo, MN 55313-3666 - Phone
- (651) 925-8400
- NPI assigned
- Mar 3, 2022
- Organization subpart
- No
Authorized official
- Name
- Korine Carlson
- Title
- HR Director
- Phone
- (651) 925-8400
Corporate family (same tax ID) 3
Practitioners 26
-
Pallavi Bhosale, DDS
-
Anna Dierking, DDS
-
Sahar Edalatpour, DDS
-
Katelyn Ann Frierott, DDS
-
Gregory Scott Latus, DDS
-
Chase H Seubert, DDS
-
Tyler Gordon Beinlich, D.D.S.
-
Todd James Billington, D.D.S.
-
Erika Enriquez Haycraft, M.D.T.
-
Michael Henderson, DDS
-
Xin Yu How, DDS
-
Megan Meyer, M.D.T.
-
Ernestine Dawa Pinto Ledezma, D.D.S
-
Ross John Schafer, D.D.S.
-
Pao Chua Vang, DDS
-
Nicholas M Weinand, DDS
-
Amanda Ashfield, DDS
National Provider Directory
- Tax ID family
- Community Dental Clinic
Locations
3650 Braddock Ave NE
Buffalo, MN 55313
Phone (651) 925-8400
1670 Beam Ave
Ste 204
Saint Paul, MN 55109
Phone (651) 925-8400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
3650 Braddock Ave NE
Buffalo, MN 55313-3666
Mailing address
1670 Beam Ave Ste 204
Maplewood, MN 55109-1227
Phone (651) 925-8400
Other providers in Buffalo, MN
- Amy Clark
- Marisha Lee Clay
- Emmalynn Pepper Clemmensen
- Ingrid Clerge
- Coborns Inc
- Jessica Anne Cooper
- Corner Medical LLC
- Jackelyn Lee Couette
- Heather J. Crabtree
- Jason Schooler Crane
All providers in Buffalo, MN · General Practice Dentistry in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.