Dentists of Woodbury, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTISTS OF WOODBURY, PC

Practice address

7150 Valley Creek PLZ Ste 230
Woodbury, MN 55125-2271

Phone

(651) 217-8296

NPI assigned

Jul 2, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Ngoc Waite, DDS

Title

Owner/DDS

Phone

(651) 217-8296

Specialties & licenses 1

Addresses

Other names 1

• Dentists of Woodbury Doing business as

Locations

Practitioners 2

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

• Kayla Marie Ellis, DDS

  • Dentist
  • Saint Paul, MN
  • NPI 1891433553
  NPD (past)
• Kristopher Lee Hasstedt, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Nashville, TN
  • NPI 1649511585
  NPD (past)

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1972165678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 VALLEY CREEK PLZ STE 230",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252271",
            "telephone_number": "651-217-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS OF WOODBURY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "WAITE",
        "authorized_official_first_name": "NGOC",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "651-217-8296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists of Woodbury",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dentists of Woodbury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trinity Julia Delong
• Teresa Marie Demarais, RD, LD
• Georgia Demun
• Karl M Dennis, PA-C
• Dental Specialists of Minnesota, PLLC
• Dermatology Consultants, PA
• Brenda Lynn Destache, MSLP
• Kaylee Alexus Deutsch, PHARMD
• Rachel Devries, MD
• Jessica Rebecca Dewald

• Dentist in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.