Active NPI
Thomas Scott Turry, D.D.S.
- General Practice Dentistry
- Forest Lake, MN
National Provider Identifier
1932370475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9762
- Practice address
- 20 Lake St N
Suite 205
Forest Lake, MN 55025-2523 - Phone
- (651) 464-3052
- Fax
- (651) 464-4023
- NPI assigned
- Mar 12, 2008
- Last updated
- Mar 12, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9762 | MN | Primary |
Addresses
Primary practice location
20 Lake St N
Suite 205
Forest Lake, MN 55025-2523
Mailing address
20 Lake St N
Suite 205
Forest Lake, MN 55025-2523
Phone (651) 464-3052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9762 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Libby Dental, LLC | Past | Accepting new patients | |
| Thomas S Turry PA | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Forest Lake, MN
- NPI 1851463806
-
- Dental Clinic/Center
- Forest Lake, MN
- NPI 1073335493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205280000000",
"number": "1932370475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 LAKE ST N",
"address_2": "SUITE 205",
"city": "FOREST LAKE",
"state": "MN",
"postal_code": "550252523",
"telephone_number": "651-464-3052",
"fax_number": "651-464-4023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 LAKE ST N",
"address_2": "SUITE 205",
"city": "FOREST LAKE",
"state": "MN",
"postal_code": "550252523",
"telephone_number": "651-464-3052",
"fax_number": "651-464-4023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURRY",
"first_name": "THOMAS",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-12",
"last_updated": "2008-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "9762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.