Organization Active NPI

Excel Dentistry PLLC

  • Dentist
  • Albertville, MN
National Provider Identifier
1528290673
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D11992 Issued in MN
Legal business name
EXCEL DENTISTRY PLLC
Practice address
6563 Laketowne PL
Ste. a
Albertville, MN 55301-4510
Phone
(952) 746-3233
NPI assigned
Aug 21, 2009
Last updated
Aug 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Authorized official

Name
Dr. Hatem Alassy
Title
Partner
Phone
(952) 746-3233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D11992 MN Primary

Addresses

Primary practice location

6563 Laketowne PL
Ste. a
Albertville, MN 55301-4510

Mailing address

6563 Laketown Place
#A
Albertville, MN 55301

National Provider Directory

National Provider Directory
Tax ID family
Excel Dentistry4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

6563 Laketowne Pl
Ste A
Albertville, MN 55301
Phone (763) 493-3600

NPI Registry JSON

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1528290673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6563 LAKETOWN PLACE",
            "address_2": "#A",
            "city": "ALBERTVILLE",
            "state": "MN",
            "postal_code": "55301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6563 LAKETOWNE PL",
            "address_2": "STE. A",
            "city": "ALBERTVILLE",
            "state": "MN",
            "postal_code": "553014510",
            "telephone_number": "952-746-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-21",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "ALASSY",
        "authorized_official_first_name": "HATEM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "952-746-3233",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.