All Smiles Dental PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11353 Issued in MN

Legal business name

ALL SMILES DENTAL PA

Practice address

212 Clydesdale TRL
Medina, MN 55340-4513

Phone

(952) 239-5072

NPI assigned

Sep 6, 2017

Organization subpart

No

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

Authorized official

Name

Nam Pham

Title

Ceo

Phone

(952) 239-5072

Specialties & licenses 1

Addresses

Other names 1

• All Smiles Dental Doing business as

Locations

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504656000000",
    "number": "1922526334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8812 138TH ST W",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553783130",
            "telephone_number": "952-239-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CLYDESDALE TRL",
            "city": "MEDINA",
            "state": "MN",
            "postal_code": "553404513",
            "telephone_number": "952-239-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL SMILES DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2017-09-06",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "NAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-239-5072"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Smiles Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alluma Dermatology PLLC
• Janet Sue Bertolas
• Caitlin Elizabeth Carr
• Compass Orthodontics, P.L.L.C.
• Complete Eye Care of Medina

• All providers in Medina, MN
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; 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.