Compass Dental PA
Organization Active NPI Dental Clinic/Center · Cannon Falls, MN
NPI 1932644648 · NPPES record last updated Jan 4, 2017
Key facts
- NPI
- 1932644648
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- D11112 (MN)
- Legal business name
- COMPASS DENTAL PA
- Practice address
- 114 3Rd St N
Cannon Falls, MN 55009-2011 - Phone
- (507) 263-4501
- NPI assigned
- Jan 4, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Daniel Curtis Callstrom, DDS
- Title
- Owner
- Phone
- (507) 263-4501
Practitioners 5
-
Daniel Curtis Callstrom, D.D.S.
-
Jacob Austin Wolf, DDS
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200309000544 | MN | Part B Supplier - Clinic/Group Practice | 9032547997 |
Receives reassigned benefits from 1 practitioner Practice locations: Cannon Falls, MN |
National Provider Directory
Locations
114 3rd St N
Cannon Falls, MN 55009
Phone (507) 263-2929
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | D11112 | MN | Yes |
Addresses
Primary practice location
114 3Rd St N
Cannon Falls, MN 55009-2011
Mailing address
114 3Rd St N
Cannon Falls, MN 55009-2011
Phone (507) 263-4501
Other providers in Cannon Falls, MN
- Cannon Falls Snyder Phcy Inc
- Cannon Valley Chiropractic,LLC
- Chasing Life-With Kala Marie
- Evie Christensen
- City of Cannon Falls
- Fiona Ethel Demel
- David G Detert
- Fiona E. Fletcher D.C. LTD.
- Jennifer Lynn Fogarty
- Daniel Scott Freeman
All providers in Cannon Falls, MN · Dental Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.