MINNESOTA VETERANS HOMES DENTAL CLINIC
NPI 1083310403
Dentist - General Practice in Silver Bay, MN

Q: What is State Of Minnesota Minnesota Management And Budget's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since February 07, 2023CLIA 24D2190452 · Waiver

56 OUTER DR, SILVER BAY, MN 55614(218) 353-8700(612) 548-5964 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2024, Feb 9, 2023 (2 updates tracked since 2023).

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About Minnesota Veterans Homes Dental Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINNESOTA VETERANS HOMES DENTAL CLINIC (NPI 1083310403) is a healthcare organization registered as a general practice in Silver Bay, Minnesota and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through August 12, 2026 and lists Simone Renee Hogan, Mdva Chief Operations Director, as its authorized official.

NPPES Registry Identity

NPI1083310403

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSTATE OF MINNESOTA MINNESOTA MANAGEMENT AND BUDGET

Location Address56 OUTER DRSilver Bay, MN 55614-1133

Mailing Address5101 Minnehaha Ave. SMinneapolis, MN 55417-1647

Phone(218) 353-8700

Fax(612) 548-5964

Organization SubpartYesParent: State Of Minnesota Minnesota Manage

Authorized OfficialSimone Renee HoganMdva Chief Operations Director · (612) 505-4110

Enumeration DateFebruary 7, 2023

Last NPPES UpdateDecember 3, 20242 updates tracked since enumeration

NPPES CertifiedDecember 3, 2024

✔ NPI 1083310403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

56 OUTER DR, Silver Bay, MN 55614

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Other Names 1

Doing Business AsMinnesota Veterans Homes Dental Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2190452

Minnesota Veterans Home - Silver Bay · Silver Bay, MN

Active · expires Aug 12, 2026

CLIA Number24D2190452

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateAugust 13, 2024

Certificate Expiration DateAugust 12, 2026

Laboratory DirectorSean C. Ercan-Fang

Laboratory Phone(218) 353-8700

Laboratory LocationMinnesota Veterans Home - Silver Bay56 Outer Drive, Silver Bay, MN 55614

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAULINA CHALUPSKY NP

Nurse Practitioner (Family)

56 OUTER DR
SILVER BAY, MN 55614

Lake County (218) 353-8709

STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET

Skilled Nursing Facility

56 OUTER DR
SILVER BAY, MN 55614

Lake County (218) 226-6300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Of Minnesota Minnesota Management And Budget's NPI number?

The NPI number for State Of Minnesota Minnesota Management And Budget is 1083310403. It was assigned to this organization in the NPPES registry on February 7, 2023. The provider is doing business as Minnesota Veterans Homes Dental Clinic.

Where is State Of Minnesota Minnesota Management And Budget located?

State Of Minnesota Minnesota Management And Budget is located at 56 Outer Dr, Silver Bay, MN 55614. The listed phone number is (218) 353-8700.

What is State Of Minnesota Minnesota Management And Budget's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Does State Of Minnesota Minnesota Management And Budget hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2190452) is associated with this NPI, valid through August 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for State Of Minnesota Minnesota Management And Budget was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.