Edlund Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12097 Issued in MN

Legal business name

EDLUND DENTAL, LLC

Practice address

1021 Bandana Blvd E
Suite #105
Saint Paul, MN 55108-5113

Phone

(651) 645-0449

NPI assigned

Mar 29, 2016

Organization subpart

No

Name

Dr. Steven Michael Edlund, D.D.S.

Title

Chief Manager

Phone

(651) 645-0449

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 29, 2016.

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1821451774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 BANDANA BLVD E",
            "address_2": "SUITE #105",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085113",
            "telephone_number": "651-645-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 BANDANA BLVD E",
            "address_2": "SUITE #105",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085113",
            "telephone_number": "651-645-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDLUND DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "EDLUND",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "651-645-0449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Emma Marie Edgar, ATC/R
• Maggie Edge, PA
• Laura Edin, OTR//L
• Edina Eye Physicians and Surgeons PA
• Edina Health Company
• Steven Michael Edlund, D.D.S.
• George R Edmonson, MD
• Saoirse M Edongnek, LICSW
• Alyssa Page Edwards, NP
• Margaret Edwards

• All providers in Saint Paul, MN
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.