Dentists of West St Paul PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTISTS OF WEST ST PAUL PC

Doing business as

Dentists of West St Paul

Practice address

1740 Robert St S Ste 110
West St Paul, MN 55118-3771

Phone

(651) 347-1252

Fax

(651) 359-2751

NPI assigned

May 24, 2022

Organization subpart

No

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

Authorized official

Name

Kathryn J Thorson, DDS

Title

Owner

Phone

(651) 347-1252

Specialties & licenses 1

Addresses

Other names 1

• Dentists of West St Paul Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexandra Nicole Bergren, DMD

  • Dentist
  • West Saint Paul, MN
  • NPI 1386465193

  Multi-Specialty

  NPD
• Brian Keith Singletary, D.M.D.

  • General Practice Dentistry
  • West St Paul, MN
  • NPI 1770505257
  NPD

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1396483996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "651-347-1252",
            "fax_number": "651-359-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 ROBERT ST S STE 110",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183771",
            "telephone_number": "651-347-1252",
            "fax_number": "651-359-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS OF WEST ST PAUL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "THORSON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-347-1252",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists of West St Paul",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jennie Deziel
• Heidi Jean Diekmann, DDS
• Dignified Living Health Services LLC
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• Kaitlyn Dorwart

• General Practice Dentistry in West St Paul, MN
• Providers in West St Paul, 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 24, 2022; 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.