Organization Active NPI

Frontline Dental

  • Dental Clinic/Center
  • St Louis Park, MN
National Provider Identifier
1346896297
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FRONTLINE DENTAL
Practice address
4045 Brookside Ave
St Louis Park, MN 55416-2808
Phone
(763) 225-7033
NPI assigned
Aug 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Authorized official

Name
Dr. Ernest Juean, DDS
Title
Dentist
Phone
(763) 225-7033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4045 Brookside Ave
St Louis Park, MN 55416-2808

Mailing address

6973 Archer PL
Inver Grove Heights, MN 55077-1000
Phone (763) 225-7033

National Provider Directory

National Provider Directory

Locations

4045 Brookside Ave
St Louis Park, MN 55416
Phone (763) 225-7033

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1346896297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6973 ARCHER PL",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550771000",
            "telephone_number": "763-225-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 BROOKSIDE AVE",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162808",
            "telephone_number": "763-225-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTLINE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "JUEAN",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "763-225-7033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.