New Prague Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10825 Issued in MN

Legal business name

NEW PRAGUE DENTAL CENTER

Practice address

101 Lexington Ave S.
New Prague, MN 56071

Phone

(952) 758-4741

Fax

(952) 758-4740

NPI assigned

Aug 8, 2008

Last updated

Aug 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kathleen J. Garry, D.D.S.NPI 1649277385

Title

Owner

Phone

(952) 758-4741

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen J Garry, D.D.S.

  • General Practice Dentistry
  • New Prague, MN
  • NPI 1649277385
  NPD (past) Authorized official
• Lori K. Brown, MA

  • Mental Health Counselor
  • New Prague, MN
  • NPI 1902238249
  NPD (past)

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1811143936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LEXINGTON AVE S.",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "56071",
            "telephone_number": "952-758-4741",
            "fax_number": "952-758-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LEXINGTON AVE S.",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "56071",
            "telephone_number": "952-758-4741",
            "fax_number": "952-758-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PRAGUE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "GARRY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-758-4741",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Nic Moga, M.D.
• Mosaic Family Services, LTD.
• Ruth Syokau Mule
• Sharon Mullen
• New Prague Counseling
• New Prague Senior Living Operations (Praha Village)
• New Prague Snyders Inc (McMahon Snyder Drug)
• Amy Lynn O'Neill, R.PH.
• Michael Patrick O'Rourke, MD
• Timothy Olson, PHARM.D.

• General Practice Dentistry in New Prague, MN
• Providers in New Prague, 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 Aug 8, 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.