Organization Active NPI

Metropolitan Dental Associates, PLLC

  • Dental Clinic/Center
  • Oakdale, MN
National Provider Identifier
1487098547
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D12019 Issued in MN
Legal business name
METROPOLITAN DENTAL ASSOCIATES, PLLC
Practice address
1099 Helmo Ave N Ste 200
Oakdale, MN 55128-6037
Phone
(651) 770-9174
Fax
(651) 770-3839
NPI assigned
Apr 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Authorized official

Name
Sherif Said, BDS
Title
Owner
Phone
(651) 770-9174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D12019 MN Primary

Addresses

Primary practice location

1099 Helmo Ave N Ste 200
Oakdale, MN 55128-6037

Mailing address

1099 Helmo Ave N Ste 200
Oakdale, MN 55128-6037
Phone (651) 770-9174

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1487098547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 HELMO AVE N STE 200",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286037",
            "telephone_number": "651-770-9174",
            "fax_number": "651-770-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 HELMO AVE N STE 200",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286037",
            "telephone_number": "651-770-9174",
            "fax_number": "651-770-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN DENTAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "SAID",
        "authorized_official_first_name": "SHERIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-770-9174",
        "authorized_official_credential": "BDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D12019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.