Aces Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ACES DENTAL

Doing business as

Eagle Valley Dental

Practice address

683 Bielenberg Dr Ste 205
Woodbury, MN 55125-1715

Phone

(651) 200-4747

Fax

(651) 998-1009

NPI assigned

Aug 25, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Lee, DMDNPI 1447772371

Title

Owner

Phone

(949) 373-6985

Specialties & licenses 1

Addresses

Other names 1

• Eagle Valley Dental Doing business as

Locations

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.

• Jerry Lee, DMD

  • Dentist
  • Woodbury, MN
  • NPI 1447772371
  NPD Authorized official

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1730964115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 BIELENBERG DR STE 205",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251715",
            "telephone_number": "651-200-4747",
            "fax_number": "651-998-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 BIELENBERG DR STE 205",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251715",
            "telephone_number": "651-200-4747",
            "fax_number": "651-998-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACES DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-373-6985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Valley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara Abrams
• Faduma Mohamed Abshir, FNP
• Accolade Home Healthcare
• Laura Elizabeth Accomando, PSY.D.
• Ace Home Care Inc
• Amanda Achartz, LICSW, LADC
• Achieve With ABA LLC
• Alexander Eugene Ackerman
• Rita Marie Acosta, LAT, ATC, EMT
• Action Home Healthcare

• Dental Clinic/Center in Woodbury, MN
• Providers in Woodbury, 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 Aug 25, 2023; 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.