Organization Active NPI

Wayne O Sletten DDS MSD PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Albert Lea, MN
National Provider Identifier
1285865006
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
7015 Issued in MN
Legal business name
WAYNE O SLETTEN DDS MSD PA
Practice address
1206 W Front St
Albert Lea, MN 56007-1903
Phone
(507) 373-1915
Fax
(507) 373-1254
NPI assigned
Jul 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Authorized official

Name
Wayne Orville Sletten, D.D.S.
Title
Owner
Phone
(507) 373-1915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 7015 MN Primary

Addresses

Primary practice location

1206 W Front St
Albert Lea, MN 56007-1903

Mailing address

1206 W Front St
Albert Lea, MN 56007-1903
Phone (507) 373-1915

National Provider Directory

National Provider Directory
Tax ID family
Wayne O Sletten DDS MSD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1285865006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 W FRONT ST",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560071903",
            "telephone_number": "507-373-1915",
            "fax_number": "507-373-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W FRONT ST",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560071903",
            "telephone_number": "507-373-1915",
            "fax_number": "507-373-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE O SLETTEN DDS MSD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "SLETTEN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "ORVILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-373-1915",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "7015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albert Lea, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.