Minnesota Sedation Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MINNESOTA SEDATION DENTAL

Practice address

1596 2ND Ave NE
Suite B
Cambridge, MN 55008

Phone

(763) 689-5501

Fax

(763) 210-5272

NPI assigned

Sep 23, 2011

Last updated

Nov 30, 2016By 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

Adam Curtis, DDS

Title

Owner

Phone

(763) 689-5501

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1689957888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1596 2ND AVE NE",
            "address_2": "SUITE B",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "55008",
            "telephone_number": "763-689-5501",
            "fax_number": "763-210-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1596 2ND AVE NE",
            "address_2": "SUITE B",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "55008",
            "telephone_number": "763-689-5501",
            "fax_number": "763-210-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA SEDATION DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-689-5501",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Benjamin Lee Moore, DDS

• Dental Clinic/Center in Cambridge, MN
• Providers in Cambridge, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.