Hugo Dental Care PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HUGO DENTAL CARE PLLC

Practice address

5677 147TH St N
Hugo, MN 55038-9302

Phone

(320) 217-9940

NPI assigned

Nov 19, 2024

Organization subpart

No

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

Authorized official

Name

Mari Liestman, DDSNPI 1265054332

Title

Owner

Phone

(320) 217-9940

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mari Liestman

  • Dentist
  • Monticello, MN
  • NPI 1265054332
  NPD Authorized official

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1740005354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15895 YELLOW PINE ST NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553044596",
            "telephone_number": "320-217-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5677 147TH ST N",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550389302",
            "telephone_number": "320-217-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGO DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "LIESTMAN",
        "authorized_official_first_name": "MARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-217-9940",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikya Patricia Hodges
• Reanna Elizabeth Holmes
• Kathryn Honchell
• Hugo Chiropractic Clinic
• Hugo Dental Care PA
• Megan Hydukovich, RDN, LD, CDE
• Maggi Leigh Johnson, M.D.
• Michele Terese-Marie Jones
• Karla Rae Juvonen, PA
• Michael Dennis Kalos, DNP, RN, CWOCN

• Dental Clinic/Center in Hugo, MN
• Providers in Hugo, 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 19, 2024; 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.