Organization Active NPI

Oakdale Family Dentistry, Inc.

  • Dental Clinic/Center
  • Oakdale, MN
National Provider Identifier
1578674131
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7994898 Issued in MN
Legal business name
OAKDALE FAMILY DENTISTRY, INC.
Practice address
1399 Geneva Ave N
Suite 101
Oakdale, MN 55128-5709
Phone
(651) 731-6464
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bruce Albin Lindberg, D.D.S.NPI 1790896348
Title
President
Phone
(651) 731-6464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 7994898 MN Primary

Addresses

Primary practice location

1399 Geneva Ave N
Suite 101
Oakdale, MN 55128-5709

Mailing address

1399 Geneva Ave N
Suite 101
Oakdale, MN 55128-5709
Phone (651) 731-6464

National Provider Directory

National Provider Directory

Locations

1399 Geneva Ave N
Ste 101
Oakdale, MN 55128
Phone (651) 731-6464

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578674131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 GENEVA AVE N",
            "address_2": "SUITE 101",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285709",
            "telephone_number": "651-731-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 GENEVA AVE N",
            "address_2": "SUITE 101",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285709",
            "telephone_number": "651-731-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKDALE FAMILY DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINDBERG",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ALBIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-731-6464",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "7994898",
            "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 Aug 22, 2020; 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.