Oak Park Dental Clinic

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OAK PARK DENTAL CLINIC

Practice address

505 Johnson Ave SE
Pine City, MN 55063-2108

Phone

(320) 629-2282

Fax

(320) 629-3357

NPI assigned

Mar 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jon E Cruz, D.D.S.

Title

Dentist/Owner

Phone

(320) 629-2282

Specialties & licenses 1

Addresses

Tax ID family

Oak Park Dental Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Oak Park Dental Clinic

  • Dental Clinic/Center
  • Siren, WI
  • NPI 1285760751
  NPD tax ID

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1508036070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 JOHNSON AVE SE",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550632108",
            "telephone_number": "320-629-2282",
            "fax_number": "320-629-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 JOHNSON AVE SE",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550632108",
            "telephone_number": "320-629-2282",
            "fax_number": "320-629-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK PARK DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "320-629-2282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Norbert Nilsson, DC
• Lisa Elizabeth Nos-Tollefson, PSYD LPCC
• Nu Beginnings Psychological Services, PLLC
• Tamera Katherine O'Neill, MA, LPCC
• Oak Park Dental - Pine City LLC
• Bruce A Oleary, LMFT
• Lauren Olson, MS, LMFT
• Shannon Marie Olson, CNP
• Karen Lynn Overholser Hovland, RN, PHN
• Samantha Partch, MA, LPCC

• General Practice Dentistry in Pine City, MN
• Providers in Pine City, 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 Mar 12, 2008; 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.