Plymouth Family Dentistry, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PLYMOUTH FAMILY DENTISTRY, LLC

Doing business as

Four Seasons Family Dentistry

Practice address

4205 Lancaster LN N
Suite 101
Plymouth, MN 55441-1700

Phone

(763) 559-2976

Fax

(763) 559-4852

NPI assigned

Feb 2, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mohammed Ashfaque Hussain Zobaer, D.D.S.

Title

Dentist

Phone

(763) 559-2976

Specialties & licenses 1

Addresses

Other names 1

• Four Seasons Family Dentistry Doing business as

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1891091203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 LANCASTER LN N",
            "address_2": "SUITE 101",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554411700",
            "telephone_number": "763-559-2976",
            "fax_number": "763-559-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 LANCASTER LN N",
            "address_2": "SUITE 101",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554411700",
            "telephone_number": "763-559-2976",
            "fax_number": "763-559-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "ZOBAER",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "ASHFAQUE HUSSAIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "763-559-2976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Seasons Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica L. Pishney, PSYD, LP
• Laron Ploederer, D.C.
• Jacob Plummer
• Plymouth Chirocenter LLC
• Plymouth Dental Care PC
• Plymouth Grove Chiropractic, P.a.
• Plymouth Orthopedic Surgery Center LLC
• Plymouth Plaza Dental
• Plymouth Psych Group, LLC
• Plymouth Senior Housing, LLC

• Dental Clinic/Center in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.