Affordable Dentures & Implants - West St. Paul IV, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AFFORDABLE DENTURES & IMPLANTS - WEST ST. PAUL IV, P.C.

Practice address

2055 Robert St S
West St Paul, MN 55118-3924

Phone

(651) 552-6770

NPI assigned

Aug 19, 2024

Organization subpart

No

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

Authorized official

Name

Bradley Sim, DDS

Title

Owner

Phone

(651) 552-6770

Specialties & licenses 1

Addresses

Other names 1

• Affordable Dentures & Implants - West St. Paul Doing business as

Locations

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1689406449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 ROBERT ST S",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183924",
            "telephone_number": "651-552-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 ROBERT ST S",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183924",
            "telephone_number": "651-552-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - WEST ST. PAUL IV, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "SIM",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-552-6770",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentures & Implants - West St. Paul",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Ann Abrass, MSW, LICSW
• Academic Arts High School
• Acupuncture Healing Arts
• Eunice A Adetona, PMHNP-BC
• Allen Rydberg P.a.
• Allina Health System
• Ally Supportive Services, LLC
• Timothy Alworth Anderson, D.D.S
• Margaret Andrew, PHARMD

• General Practice Dentistry in West St Paul, MN
• Providers in West St 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 Aug 19, 2024; 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.