First Avenue Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FIRST AVENUE DENTAL PLLC

Practice address

74 1St Ave SE
Little Falls, MN 56345-3042

Phone

(320) 241-6927

NPI assigned

May 25, 2023

Last updated

May 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Zachary Steven Conklin, DDS

Title

Owner

Phone

(320) 241-6927

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1336831445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 ROBERTS RD APT 310",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563773403",
            "telephone_number": "320-241-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 1ST AVE SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453042",
            "telephone_number": "320-241-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST AVENUE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "CONKLIN",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-241-6927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alicia Anne Frankwitz, D.O.

• General Practice Dentistry in Little Falls, MN
• Providers in Little Falls, 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 May 25, 2023; 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.