The Dental Center of Eagan

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THE DENTAL CENTER OF EAGAN

Practice address

3348 Sherman CT
Ste 202
Eagan, MN 55121-5006

Phone

(651) 788-7924

Fax

(651) 756-8131

NPI assigned

Mar 3, 2010

Organization subpart

No

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

Authorized official

Name

Shirley A Herding

Title

Office Manager

Phone

(651) 788-7924

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1316260516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3348 SHERMAN CT",
            "address_2": "STE 202",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551215006",
            "telephone_number": "651-788-7924",
            "fax_number": "651-756-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3348 SHERMAN CT",
            "address_2": "STE 202",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551215006",
            "telephone_number": "651-788-7924",
            "fax_number": "651-756-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTAL CENTER OF EAGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "HERDING",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "651-788-7924"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vicky Thao
• The Dental Specialists of Minnesota, PLLC
• The Divergent Grove Therapy LLC
• Tressa Theis, M.S., CCC-SLP
• Shaylin Theisen, MS OTR/L
• Jessica Thelemann

• Dental Clinic/Center in Eagan, MN
• Providers in Eagan, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.