Mendota Dental Associates

Primary specialty

DentistTaxonomy code 122300000X

License

D9530 Issued in MN

Legal business name

MENDOTA DENTAL ASSOCIATES

Practice address

720 Main St
Suite 213
Mendota Heights, MN 55118-3757

Phone

(651) 454-1502

Fax

(651) 454-1504

NPI assigned

Jan 6, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Michael D Mallinger, DDS

Title

Owner

Phone

(763) 226-1784

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1199577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199577600000",
    "number": "1760667091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 MAIN ST",
            "address_2": "SUITE 213",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551183757",
            "telephone_number": "651-454-1502",
            "fax_number": "651-454-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MAIN ST",
            "address_2": "SUITE 213",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551183757",
            "telephone_number": "651-454-1502",
            "fax_number": "651-454-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDOTA DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-06",
        "last_updated": "2008-01-06",
        "status": "A",
        "authorized_official_last_name": "MALLINGER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-226-1784",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D9530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Anne Meiners
• Brock Melander
• Dominique Eva Menard, OTD
• Mendakota Chiropractic, PLLC
• Mendota Autism Center LLC
• Mendota Heights Dental Center
• Mendota Heights WP LLC
• Mendota Physical Therapy LLC
• Amanda Marie Mesenbrink
• Aubrey Miller, LPCC

• Dentist in Mendota Heights, MN
• Providers in Mendota Heights, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2008; 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.