Dental Delivery Systems of St. Paul LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL DELIVERY SYSTEMS OF ST. PAUL LLC

Practice address

1790 7TH St E
Saint Paul, MN 55119-3419

Phone

(651) 735-0595

NPI assigned

Dec 9, 2022

Last updated

Dec 9, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

DENTAL ASSOCIATES OF MINNESOTAAs reported in NPPES

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

Authorized official

Name

David Maki, DDSNPI 1780794115

Title

Vice President

Phone

(952) 440-2292

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• David Robert Maki

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1780794115
  Authorized official Same address or phone

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1619688751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 7TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551193419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 7TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551193419",
            "telephone_number": "651-735-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL DELIVERY SYSTEMS OF ST. PAUL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL ASSOCIATES OF MINNESOTA",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "MAKI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "952-440-2292",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Katherine Dennert, OTD, OTR/L
• Lisa Dennis
• Nolan Andrew Denny
• Melinda Denson
• Dental Associates of St. Paul PA
• Dental Delivery Systems St Paul, PA (Dental Associates of St. Paul)
• Dentists of Highland Park, PC
• Angela Depauw
• Neil M Derechin, MD
• Derheim, Inc (Healthcare Empowered)

• General Practice Dentistry in Saint Paul, MN
• Providers in Saint Paul, 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 Dec 9, 2022; 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.