Organization Active NPI

Dental Dellivery Systems Brooklyn Park PA

  • General Practice Dentistry
  • Minneapolis, MN
National Provider Identifier
1275704520
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D11353 Issued in MN
Legal business name
DENTAL DELLIVERY SYSTEMS BROOKLYN PARK PA
Doing business as
The Smile Center
Practice address
7532 Brooklyn Blvd
Minneapolis, MN 55443-3101
Phone
(763) 263-2222
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Dr. Thanh Pham, DDS
Title
Co Owner
Phone
(763) 263-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X D11353 MN Primary

Addresses

Primary practice location

7532 Brooklyn Blvd
Minneapolis, MN 55443-3101

Mailing address

7532 Brooklyn Blvd
Minneapolis, MN 55443-3101

Other names 1

  • The Smile Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1275704520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7532 BROOKLYN BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554433101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7532 BROOKLYN BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554433101",
            "telephone_number": "763-263-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL DELLIVERY SYSTEMS BROOKLYN PARK PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "THANH",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "763-263-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Smile Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.