Angela Pfeiffer Bedard, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12916 Issued in MN

Practice address

165 19TH St S
Suite #101
Sartell, MN 56377-2153

Phone

(320) 253-9270

Fax

(320) 255-5413

NPI assigned

Dec 3, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Arts Dental

  • General Practice Dentistry
  • Sartell, MN
  • NPI 1063530194
  NPD (past)

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309824000000",
    "number": "1336441807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 19TH ST S",
            "address_2": "SUITE #101",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772153",
            "telephone_number": "320-253-9270",
            "fax_number": "320-255-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 19TH ST S",
            "address_2": "SUITE #101",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772153",
            "telephone_number": "320-253-9270",
            "fax_number": "320-255-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEIFFER BEDARD",
        "first_name": "ANGELA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-03",
        "last_updated": "2011-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Jo Peterson
• Madison Shay Peterson
• Morgan Elizabeth Peterson
• Tyler M Peterson, PA-C
• Christopher Petrie, PSYD, CMPC
• Elizabeth A Phillips, MD
• Caitlin Marie Pietrzak
• Pinecone Family Counseling, PA
• Pinecone Vision Center
• Pinecone Vision Center, PA

• General Practice Dentistry in Sartell, MN
• Providers in Sartell, 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 Jul 5, 2011; 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.