Active NPI
Dental Health Center of MN
- Exclusive Provider Organization
- St Louis Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- D11735
- Legal business name
- DENTAL HEALTH CENTER OF MN
- Practice address
- 4820 Minnetonka Blvd Ste 202
St Louis Park, MN 55416-5707 - Phone
- (952) 929-2388
- NPI assigned
- Apr 9, 2008
- Last updated
- Apr 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Solongo Purev
- Title
- DMD
- Phone
- (952) 929-2388
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | D11735 | MN | Primary |
Addresses
Primary practice location
4820 Minnetonka Blvd Ste 202
St Louis Park, MN 55416-5707
Mailing address
4820 Minnetonka Blvd Ste 202
St Louis Park, MN 55416-5707
Phone (952) 929-2388
National Provider Directory
National Provider DirectoryLocations
4820 Minnetonka Blvd
Ste 202
St Louis Park, MN 55416
Phone (612) 250-8515
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- St Louis Park, MN
- NPI 1134207087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207699200000",
"number": "1982877064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4820 MINNETONKA BLVD STE 202",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554165707",
"telephone_number": "952-929-2388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4820 MINNETONKA BLVD STE 202",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554165707",
"telephone_number": "952-929-2388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL HEALTH CENTER OF MN",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-09",
"last_updated": "2008-04-09",
"status": "A",
"authorized_official_last_name": "PUREV",
"authorized_official_first_name": "SOLONGO",
"authorized_official_title_or_position": "DMD",
"authorized_official_telephone_number": "952-929-2388"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "MN",
"license": "D11735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.