Main Street Dental of Kenyon PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D12683 Issued in MN

Legal business name

MAIN STREET DENTAL OF KENYON PA

Practice address

216 Forest St
Kenyon, MN 55946

Phone

(507) 789-6815

NPI assigned

Sep 12, 2012

Organization subpart

No

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

Authorized official

Name

Duy Vu, D.D.S

Title

Dentist

Phone

(651) 235-6604

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561852800000",
    "number": "1700136116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 FOREST ST",
            "city": "KENYON",
            "state": "MN",
            "postal_code": "559461151",
            "telephone_number": "507-789-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 FOREST ST",
            "city": "KENYON",
            "state": "MN",
            "postal_code": "55946",
            "telephone_number": "507-789-6815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2381 Rice St",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MN",
            "postal_code": "551133715",
            "country_code": "US",
            "telephone_number": "651-235-6604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2381 Rice St",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MN",
            "postal_code": "551133715",
            "country_code": "US",
            "telephone_number": "651-235-6604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAIN STREET DENTAL OF KENYON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2019-06-30",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "DUY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "651-235-6604",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D12683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith in Action of Dodge County, Kenyon, and Nerstrand
• Pamela Jane Farnsworth-Martin, MSPT
• Karla Jager
• Kenyon Sunset Home
• William Loren Lewis, D.D.S.
• Morcap, Inc.
• Northfield Hospital
• Sherilyn Prigge, RN
• Karla Lee Stromme Resch
• William L Lewis D.D.S.,P.a.

• Dental Clinic/Center in Kenyon, MN
• Providers in Kenyon, 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 Jun 30, 2019; 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.