Plymouth Station Dental, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PLYMOUTH STATION DENTAL, PA

Practice address

16795 County Road 24
Suite 6
Plymouth, MN 55447-1201

Phone

(763) 511-9840

NPI assigned

Apr 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert Michael SinkoNPI 1811978745

Title

D.D.S. Owner

Phone

(763) 577-9840

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Robert Michael Sinko, DDS

  • Dentist
  • Plymouth, MN
  • NPI 1811978745
  NPD (past) Authorized official
• Carl Benton Fitzsimmons, D.D.S.

  • Dentist
  • Plymouth, MN
  • NPI 1396846010
  NPD (past)

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1801068663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16795 COUNTY ROAD 24",
            "address_2": "SUITE 6",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554471201",
            "telephone_number": "763-511-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16795 COUNTY ROAD 24",
            "address_2": "SUITE 6",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554471201",
            "telephone_number": "763-511-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH STATION DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "SINKO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "D.D.S. OWNER",
        "authorized_official_telephone_number": "763-577-9840",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plymouth Orthopedic Surgery Center LLC
• Plymouth Plaza Dental
• Plymouth Psych Group, LLC
• Plymouth Senior Housing, LLC
• Plymouth Smiles Dentistry, PC
• Plymouth Vision Center, Inc.
• Samantha Jo Poehling, PA-C
• Sara Poff
• Leila Ann Pollock, NP
• Robert A Pollock, MD

• Dental Clinic/Center in Plymouth, MN
• Providers in Plymouth, 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 Apr 1, 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.