Virginia Family Dental P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D12649 Issued in MN

Legal business name

VIRGINIA FAMILY DENTAL P.A.

Practice address

802 4TH St N
Virginia, MN 55792-2451

Phone

(218) 741-0405

Fax

(218) 741-1445

NPI assigned

Apr 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Michael Bryan Miskovich, D.D.S.

Title

Dentist

Phone

(218) 741-0405

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1336568781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 4TH ST N",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922451",
            "telephone_number": "218-741-0405",
            "fax_number": "218-741-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 4TH ST N",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922451",
            "telephone_number": "218-741-0405",
            "fax_number": "218-741-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA FAMILY DENTAL P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "MISKOVICH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "218-741-0405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D12649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Douglas Van Patten
• Matthew Vanderbeek
• Andrea Lea Vansoest, OT
• Nicholas Brian Vidor, M.D.
• Virginia Carefree Living
• Virginia-Gilbert Family Dental P.a
• Catherine Otillia Vittori
• Shannon Vue
• Margaret Waechter
• Amber S Walburn

• Dental Clinic/Center in Virginia, MN
• Providers in Virginia, 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 14, 2014; 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.