Summit Dental P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11789 Issued in MN

Legal business name

SUMMIT DENTAL P.A.

Practice address

10756 Butternut St NW
Coon Rapids, MN 55448-4448

Phone

(763) 757-4170

Fax

(763) 757-7940

NPI assigned

Mar 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Erik William Marksberry, DDSNPI 1124017603

Title

Owner

Phone

(763) 757-4170

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erik William Marksberry, D.D.S.

  • General Practice Dentistry
  • Coon Rapids, MN
  • NPI 1124017603
  NPD (past) Authorized official
• Jennifer Marie Carey, RDH

  • Dental Therapist
  • Coon Rapids, MN
  • NPI 1831553312
  NPD (past)
• Douglas Green, DDS

  • General Practice Dentistry
  • Blaine, MN
  • NPI 1972614717
  NPD (past)

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1295907202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10756 BUTTERNUT ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554484448",
            "telephone_number": "763-757-4170",
            "fax_number": "763-757-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10756 BUTTERNUT ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554484448",
            "telephone_number": "763-757-4170",
            "fax_number": "763-757-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT DENTAL P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "MARKSBERRY",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-757-4170",
        "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": "D11789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James T Sturm, M.D.
• Klaus K Suehler, MD
• Jai M Suh, MD
• Robert Allen Sullivan, LICSW
• Summit Behavioral Solutions
• Summit Orthopedics, LTD.
• Mark Y Sun, MD
• Melinda Jean Sundquist, DDS
• Cecilia Margaret Manaois Sung, R.N.
• Supervalu Pharmacies Inc

• General Practice Dentistry in Coon Rapids, MN
• Providers in Coon Rapids, 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 31, 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.