Town Dental, PA

Primary specialty

DentistTaxonomy code 122300000X

License

D11057 Issued in MN

Legal business name

TOWN DENTAL, PA

Practice address

407 City Hall PLZ
Chaska, MN 55318-1970

Phone

(952) 448-3077

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David J Harvieux, DENTISTNPI 1487643706

Title

Vice President

Phone

(952) 488-3077

Specialties & licenses 1

Addresses

Tax ID family

Town Dental PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Town Dental, PA

  • Dentist
  • Excelsior, MN
  • NPI 1639398886
  NPD tax ID
• Town Dental, PA

  • General Practice Dentistry
  • Excelsior, MN
  • NPI 1962460881
  NPD tax ID

Locations

Practitioners 1

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

• David Harvieux, DDS

  • General Practice Dentistry
  • Excelsior, MN
  • NPI 1487643706
  NPD (past) Authorized official

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841417003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WESTON RIDGE PKWY",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181202",
            "telephone_number": "952-368-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 CITY HALL PLZ",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181970",
            "telephone_number": "952-448-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARVIEUX",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "952-488-3077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DENTIST"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Thomes, L.AC
• Carrie Marie Ross Thompson, D.C.
• Thriving Spirit Lifestyle Medicine LLC
• Danielle Tilia
• Edward N Tipton, LP
• Michelle Tschida, LMFT
• Abby Elizabeth Turbes, MATRG, ATC, CSCS
• Amy Judith Tutu, LPN
• U.S. Healthworks Medical Group of Minnesota, PC
• Ulrick Eyecare, Inc. (Stacey Ulrick, OD)

• Dentist in Chaska, MN
• Providers in Chaska, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.