THE DENTAL SPECIALIST WOODBURY
NPI 1902235245
Dentist - Pediatric Dentistry in Woodbury, MN

NPI Status: Active since November 07, 2013

Contact Information

10150 CITY WALK DR APT C
WOODBURY, MN
ZIP 55129
Phone: (651) 501-0018

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  • Organization
  • Dentist
  • Pediatric Dentistry

About THE DENTAL SPECIALIST WOODBURY

This page provides the complete NPI Profile along with additional information for The Dental Specialist Woodbury, a provider established in Woodbury, Minnesota operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1902235245 assigned on November 2013. The practitioner's primary taxonomy code is 1223P0221X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The Dental Specialist Woodbury operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as The Dental Specialist Woodbury. The authorized official of this NPI record is Shannon Hesse (Credentialing Specialist)

NPI
1902235245
Provider Legal Name
DENTAL SPECIALISTS OF MINNESOTA, PLLC
Other Organization Name
THE DENTAL SPECIALIST WOODBURY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10150 CITY WALK DR APT C WOODBURY, MN 55129
Location Phone
(651) 501-0018
Mailing Address
2200 COUNTY ROAD C W SUITE 2210 ROSEVILLE, MN 55113
Mailing Phone
(651) 633-0500
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-07-2013
Last Update Date
10-28-2020
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A dentist like The Dental Specialist Woodbury is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
Taxonomy Description
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHANNON HESSE

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(651) 746-2815

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1902235245
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2902431028
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 4 + 3 + 1 + 0 + 2 + 8 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1902235245 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184716755DR. LORI MARIE GMEINDER DDS
Individual
Dentist10150 CITY WALK DR APT C
WOODBURY, MN 55129
(651) 714-5555
1407948060DR. KRISTY LYNN PETERSEN DDS
Individual
Dentist10150 CITY WALK DR APT C
WOODBURY, MN 55129
(651) 714-5555
1013517093ORTHODONTIC SPECIALISTS OF MINNESOTA, PLLC
Organization
Dentist (Orthodontics and Dentofacial Orthopedics)10150 CITY WALK DR APT C
WOODBURY, MN 55129
(651) 268-2992

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902235245, enumerated in the NPI registry as an "organization" on November 07, 2013

The provider is located at 10150 City Walk Dr Apt C Woodbury, Mn 55129 and the phone number is (651) 501-0018

This medical organization specializes in Dentist with taxonomy code 1223P0221X with a focus in Pediatric Dentistry

This NPI record was last updated on November 07, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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