S and a Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

S AND A DENTAL, PLLC

Practice address

9848 Lyndale Ave S
Bloomington, MN 55420

Phone

(952) 888-3161

Fax

(952) 702-9632

NPI assigned

Oct 6, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Sara Fam

Title

Member

Phone

(952) 486-1031

Specialties & licenses 1

Addresses

Other names 1

• OxBoro Family Dental Doing business as

Locations

Practitioners 1

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

• David Allan Engan, D.D.S.

  • General Practice Dentistry
  • Bloomington, MN
  • NPI 1235353012
  NPD (past)

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1992467161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9848 LYNDALE AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "55420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9848 LYNDALE AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "55420",
            "telephone_number": "952-888-3161",
            "fax_number": "952-702-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S AND A DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "FAM",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "952-486-1031",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OxBoro Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Conor S Ryan, MD
• Robin Saunders Ryan, PT
• Ryde Stop Inc
• Emilyn Ryski
• S & K Alternatives LLC
• Saaficare Inc
• Isabella Kay Saal
• Alyssa Saatzer, M.A., OTR/L
• Leonardo A Saavedra, MD
• Syrah May Velasco Sabio

• General Practice Dentistry in Bloomington, MN
• Providers in Bloomington, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.