Wallace E. Lunden III DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8483 Issued in MN

Legal business name

WALLACE E. LUNDEN III DDS PA

Practice address

1401 E 66TH St
Richfield, MN 55423-2646

Phone

(612) 866-7000

NPI assigned

Sep 7, 2016

Organization subpart

No

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

Authorized official

Name

Teri Bigelbach

Title

Office Manager

Phone

(612) 866-7000

Specialties & licenses 1

Addresses

Other names 1

• Cedar Point Dentistry Doing business as

Locations

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1740737782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E 66TH ST",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E 66TH ST",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232646",
            "telephone_number": "612-866-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLACE E. LUNDEN III DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "BIGELBACH",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "612-866-7000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D8483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Point Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniela Wagner-Saldarriaga
• Isabel Rey Wahlers
• Walgreen Co
• Sherry Walker, CERTIFICATION
• Wall Works PT LLC
• Ellie Kay Wallace
• Noureen Mehreen Wallani, LICSW
• Wallerich Eye Care LLC Dba Swoop Eye Care
• Michael Wallerich, OD
• Carrie Walton, RN, DDS

• General Practice Dentistry in Richfield, MN
• Providers in Richfield, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.