Individual provider Active NPI

Sandu Florin Alb, DDS, PHD

  • General Practice Dentistry
  • Plymouth, MN
National Provider Identifier
1710357074
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D13960 Issued in MN
Practice address
15930 48TH Ave N
Plymouth, MN 55446-2055
Phone
(612) 814-9746
Fax
(763) 494-4222
NPI assigned
Sep 30, 2015
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D13960 MN Primary

Addresses

Primary practice location

15930 48TH Ave N
Plymouth, MN 55446-2055

Mailing address

19000 31St Ave N
Plymouth, MN 55447-1085
Phone (763) 533-0055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160629002047 MN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5294026886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
D13960MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alb Dental Studio PLLC CurrentSince Feb 4, 2024 Accepting new patients
Family & Cosmetic Gentle Dentistry, LTD General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1710357074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19000 31ST AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554471085",
            "telephone_number": "763-533-0055",
            "fax_number": "763-533-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15930 48TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554462055",
            "telephone_number": "612-814-9746",
            "fax_number": "763-494-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALB",
        "first_name": "SANDU",
        "middle_name": "FLORIN",
        "name_prefix": "Dr.",
        "credential": "DDS, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-30",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.