Quality Dental Care, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

QUALITY DENTAL CARE, LLC

Practice address

6901 78TH Ave N
Suite 105
Brooklyn Park, MN 55445-2720

Phone

(651) 263-6673

NPI assigned

Apr 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Xieng Khan Lee, D.D.S.

Title

Owner/Dentist

Phone

(651) 263-6673

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1326304411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9131 LOUISIANA AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554453249",
            "telephone_number": "651-263-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 78TH AVE N",
            "address_2": "SUITE 105",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452720",
            "telephone_number": "651-263-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "XIENG",
        "authorized_official_middle_name": "KHAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "651-263-6673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Brooklyn Park, MN
• Providers in Brooklyn Park, 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 Apr 3, 2012; 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.