Organization Active NPI

Edstrom & Helgeson, P.a.

  • Dental Clinic/Center
  • Eagan, MN
National Provider Identifier
1811401375
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D12704 Issued in MN
Legal business name
EDSTROM & HELGESON, P.A.
Doing business as
Denmark Dental
Practice address
3436 Denmark Ave
Eagan, MN 55123-1088
Phone
(651) 452-4455
NPI assigned
Nov 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Brandon C Helgeson, DDSNPI 1851527618
Title
President
Phone
(651) 452-4455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D12704 MN Primary

Addresses

Primary practice location

3436 Denmark Ave
Eagan, MN 55123-1088

Mailing address

3436 Denmark Ave
Eagan, MN 55123-1088
Phone (651) 452-4455

Other names 1

  • Denmark Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1811401375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 DENMARK AVE",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231088",
            "telephone_number": "651-452-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 DENMARK AVE",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231088",
            "telephone_number": "651-452-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDSTROM & HELGESON, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "HELGESON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-452-4455",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D12704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denmark Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.