Drytech Co. LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

DRYTECH CO. LLC

Practice address

13483 Fenway Blvd Circle No.
Hugo, MN 55038

Phone

(651) 429-8444

Fax

(651) 429-8451

NPI assigned

Feb 12, 2016

Last updated

Feb 12, 2016By 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

Mr. Paul George Pederson

Title

Ceo

Phone

(651) 429-8444

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1811356306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13483 FENWAY BLVD CIRCLE NO.",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "55038",
            "telephone_number": "651-429-8444",
            "fax_number": "651-429-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13483 FENWAY BLVD CIRCLE NO.",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "55038",
            "telephone_number": "651-429-8444",
            "fax_number": "651-429-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRYTECH CO. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "PEDERSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-429-8444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Dennison, NP
• Hannah Rae Dickson
• Dawn Rene Dittel
• Cloey Amilia Dmytruk
• Dr. Petronack & Associates, Optometrists, Inc. (Hugo Optical)
• Natalie Grace Dumas
• Laura Catherine Dustrud
• Kristen Sheryl-Swenby Eklund, DDS
• Rizzah Esteban
• Jill K Fahnhorst, PT

• Contractor in Hugo, MN
• Providers in Hugo, MN by specialty
• Contractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.