Al M Virgen DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12872 Issued in MN

Legal business name

AL M VIRGEN DMD PA

Practice address

7501 80TH St S
Suite 2
Cottage Grove, MN 55016-3020

Phone

(651) 459-7888

Fax

(651) 459-7614

NPI assigned

Mar 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Al M Virgen, DMD

Title

Ceo

Phone

(651) 459-7888

Specialties & licenses 1

Addresses

Other names 1

• All Smiles Dentistry Doing business as

Locations

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1801068358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 80TH ST S",
            "address_2": "SUITE 2",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163020",
            "telephone_number": "651-459-7888",
            "fax_number": "651-459-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 80TH ST S",
            "address_2": "SUITE 2",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163020",
            "telephone_number": "651-459-7888",
            "fax_number": "651-459-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AL M VIRGEN DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "VIRGEN",
        "authorized_official_first_name": "AL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-459-7888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advanced Practice Solutions,PA
• Allison Affolter
• Sean Agger, PHD, DBACC
• Ayuub Ahmed
• Hodan Ahmed
• Afrouz Alai, O.D
• Amy S Albers, PT
• Rih-Reh Ali Usmanu
• Allina Health System
• Allina Health System

• All providers in Cottage Grove, MN
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.