NPIMap

Organization Active NPI

Ghassemlouei and Gunderson Dental Practice PLLC

  • General Practice Dentistry
  • Mendota Heights, MN
National Provider Identifier
1598449688
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GHASSEMLOUEI AND GUNDERSON DENTAL PRACTICE PLLC
Practice address
2418 Enterprise Dr Unit B
Mendota Heights, MN 55120-1361
Phone
(651) 452-2116
Fax
(651) 452-2695
NPI assigned
Jun 9, 2023
Last updated
Jun 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Authorized official

Name
Dana Gunderson, DDSNPI 1548822661
Title
Owner Dentist
Phone
(414) 617-3683

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2418 Enterprise Dr Unit B
Mendota Heights, MN 55120-1361

Mailing address

2418 Enterprise Dr Unit B
Mendota Heights, MN 55120-1361
Phone (651) 452-2116

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1598449688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 ENTERPRISE DR UNIT B",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201361",
            "telephone_number": "651-452-2116",
            "fax_number": "651-452-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 ENTERPRISE DR UNIT B",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201361",
            "telephone_number": "651-452-2116",
            "fax_number": "651-452-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHASSEMLOUEI AND GUNDERSON DENTAL PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "GUNDERSON",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "414-617-3683",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendota Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.