Active NPI
Vang Dental Clinic, Inc
- General Practice Dentistry
- Saint Paul, MN
National Provider Identifier
1871668830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11210
- Legal business name
- VANG DENTAL CLINIC, INC
- Practice address
- 365 University Ave W
Saint Paul, MN 55103-2018 - Phone
- (651) 222-6738
- Fax
- (651) 848-0808
- NPI assigned
- Nov 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Pete Vang
- Title
- Vice President
- Phone
- (651) 222-6738
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11210 | MN | Primary |
Addresses
Primary practice location
365 University Ave W
Saint Paul, MN 55103-2018
Mailing address
365 University Ave W
Saint Paul, MN 55103-2018
Phone (651) 222-6738
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186012800000",
"number": "1871668830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 UNIVERSITY AVE W",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551032018",
"telephone_number": "651-222-6738",
"fax_number": "651-848-0808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 UNIVERSITY AVE W",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551032018",
"telephone_number": "651-222-6738",
"fax_number": "651-848-0808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANG DENTAL CLINIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-22",
"last_updated": "2007-08-02",
"status": "A",
"authorized_official_last_name": "VANG",
"authorized_official_first_name": "PETE",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "651-222-6738",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "11210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.