Wayzata Dental, LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WAYZATA DENTAL, LTD.

Doing business as

Wayzata Dental

Practice address

250 Central Ave N
Suite 202
Wayzata, MN 55391-1206

Phone

(952) 473-4900

Fax

(952) 473-4672

NPI assigned

Dec 13, 2007

Last updated

Dec 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason T McDowell, D.D.S.

Title

Owner

Phone

(952) 473-4900

Specialties & licenses 1

Addresses

Other names 1

• Wayzata Dental Doing business as

Locations

Practitioners 2

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.

• Jessica Marie Desjardins, DDS

  • General Practice Dentistry
  • Wayzata, MN
  • NPI 1033346986
  NPD (past)
• Cynthia Ann Ehlen, D.D.S.

  • General Practice Dentistry
  • Wayzata, MN
  • NPI 1891740304
  NPD (past)

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1659554517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CENTRAL AVE N",
            "address_2": "SUITE 202",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911206",
            "telephone_number": "952-473-4900",
            "fax_number": "952-473-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CENTRAL AVE N",
            "address_2": "SUITE 202",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911206",
            "telephone_number": "952-473-4900",
            "fax_number": "952-473-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYZATA DENTAL, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "MCDOWELL",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-473-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayzata Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Warren
• Nannette L Washko, P.T.
• Elizabeth Brink Watts
• Wayzata Bay Senior Housing, Inc. (Folkestone)
• Wayzata Chiropractic Clinic
• Wayzata Endodontics PA
• Wayzata Endodontics, P.a.
• Wayzata Surgery Center
• Wayzata Surgical Center LLC
• Wegleitner Chiropractic, P.a

• General Practice Dentistry in Wayzata, MN
• Providers in Wayzata, 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 13, 2007; 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.