NPIMap

Organization Active NPI

Maple Brook Dental Center of MN LTD

  • Dental Clinic/Center
  • Brooklyn Park, MN
National Provider Identifier
1902614167
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MAPLE BROOK DENTAL CENTER OF MN LTD
Practice address
8401 W Broadway Ave
Brooklyn Park, MN 55445-2266
Phone
(763) 424-5313
Fax
(763) 424-4503
NPI assigned
Dec 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Danh Lam, DDSNPI 1811073992
Title
Owner Dentist/President
Phone
(763) 742-2773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8401 W Broadway Ave
Brooklyn Park, MN 55445-2266

Mailing address

8401 W Broadway Ave
Brooklyn Park, MN 55445-2266
Phone (763) 424-5313

Other names 1

  • Maple Brook Dental Doing business as

National Provider Directory

National Provider Directory

Locations

8401 W Broadway Ave
Brooklyn Park, MN 55445
Phone (763) 424-5313

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1902614167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 W BROADWAY AVE",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452266",
            "telephone_number": "763-424-5313",
            "fax_number": "763-424-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 W BROADWAY AVE",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452266",
            "telephone_number": "763-424-5313",
            "fax_number": "763-424-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE BROOK DENTAL CENTER OF MN LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "DANH",
        "authorized_official_title_or_position": "OWNER DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "763-742-2773",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Brook Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.