Organization Active NPI

Wayne O Sletten DDS MSD PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Albert Lea, MN
National Provider Identifier
1730310442
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
7015 Issued in MN
Legal business name
WAYNE O SLETTEN DDS MSD PA
Practice address
1206 W Front St
Albert Lea, MN 56007-1903
Phone
(507) 373-1915
Fax
(507) 373-1254
NPI assigned
Jul 29, 2009
Last updated
Jul 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Authorized official

Name
Wayne Orville Sletten, DDSNPI 1093931446
Title
Owner
Phone
(507) 238-4512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 7015 MN Primary

Addresses

Primary practice location

1206 W Front St
Albert Lea, MN 56007-1903

Mailing address

1235 Highway 15 S
Fairmont, MN 56031-4461
Phone (507) 238-4512

National Provider Directory

National Provider Directory
Tax ID family
Wayne O Sletten DDS MSD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1730310442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 HIGHWAY 15 S",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314461",
            "telephone_number": "507-238-4512",
            "fax_number": "507-238-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W FRONT ST",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560071903",
            "telephone_number": "507-373-1915",
            "fax_number": "507-373-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE O SLETTEN DDS MSD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "SLETTEN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "ORVILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-238-4512",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "7015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albert Lea, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.