Fiant Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9958 Issued in MN

Legal business name

FIANT DENTAL, PLLC

Practice address

2937 Lyndale Ave S
Minneapolis, MN 55408-2171

Phone

(612) 827-7400

Fax

(612) 823-8252

NPI assigned

Oct 27, 2014

Organization subpart

No

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

Authorized official

Name

James Graham, DDS

Title

Chief Manager

Phone

(612) 827-7400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1821493396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2937 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082171",
            "telephone_number": "612-827-7400",
            "fax_number": "612-823-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2937 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082171",
            "telephone_number": "612-827-7400",
            "fax_number": "612-823-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIANT DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "612-827-7400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D9958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi L Feutz, APN
• Jennifer R Fey
• Kristine Fey
• Ryan Michael Fey, M.D.
• Tesfaye A Feyesa
• Carolyn Dianne Fick, APRN
• Annette Sue Fideldy, RD LD CDE
• Fidelity Healthcare LLC.
• Kelly Fider, PA-C
• Fiducia Enterprises LLC

• General Practice Dentistry in Minneapolis, MN
• Providers in Minneapolis, 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 Oct 27, 2014; 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.