Belle Plaine Family Dental PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10525 Issued in MN

Legal business name

BELLE PLAINE FAMILY DENTAL PA

Practice address

210 N Meridian St
Suite 2
Belle Plaine, MN 56011-1828

Phone

(952) 873-2796

Fax

(952) 873-5675

NPI assigned

Sep 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Steven Blaine Petersen, D.D.S.

Title

Owner

Phone

(952) 873-2796

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881798155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N MERIDIAN ST",
            "address_2": "SUITE 2",
            "city": "BELLE PLAINE",
            "state": "MN",
            "postal_code": "560111828",
            "telephone_number": "952-873-2796",
            "fax_number": "952-873-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N MERIDIAN ST",
            "address_2": "SUITE 2",
            "city": "BELLE PLAINE",
            "state": "MN",
            "postal_code": "560111828",
            "telephone_number": "952-873-2796",
            "fax_number": "952-873-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLE PLAINE FAMILY DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "BLAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-873-2796",
        "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": "D10525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omobolanle Tayibat Afinni
• Megan Ashley Bass
• Monique Dawn Baune, DMD
• Belle Plaine Chiropractic Health and Wellness Center, PA
• Belle Plaine Eyecare Center LLC
• Janet Lea Bradach
• Jaime Leigh Buffie, MS, RDN, LD
• Mora Lynn Cervenka, DDS
• City of Belle Plaine
• Coborns Inc

• General Practice Dentistry in Belle Plaine, MN
• Providers in Belle Plaine, 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 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.