HEALTHPARTNERS WOODBURY DENTAL CLINIC
NPI 1083769335
Dentist - General Practice in Woodbury, MN
- Organization
- Dentist
- General Practice
- CLIA Number: 24D0668602
- CLIA Cert. Type: Health Main. Organization
- CLIA Exp. Date: 12-22-2027
About HEALTHPARTNERS WOODBURY DENTAL CLINIC
This page provides the complete NPI Profile along with additional information for Healthpartners Woodbury Dental Clinic, a provider established in Woodbury, Minnesota operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1083769335 assigned on January 2007. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Healthpartners Woodbury Dental Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Healthpartners Woodbury Dental Clinic. The authorized official of this NPI record is Kathleen M Cooney (Cao)
- NPI
- 1083769335 Verify this NPI
- Provider Legal Name
- GROUP HEALTH PLAN INC
- Other Organization Name
- HEALTHPARTNERS WOODBURY DENTAL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 8325 SEASONS PKWY STE 103 WOODBURY, MN 55125
- Location Phone
- (651) 702-5848
- Location Fax
- (651) 702-5870
- Mailing Address
- 8100 34TH AVE S 21113A BLOOMINGTON, MN 55425
- Mailing Phone
- (952) 883-5151
- Mailing Fax
- (952) 883-5160
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-25-2007
- Last Update Date
- 08-22-2020
- Code Navigator
A dentist like Healthpartners Woodbury Dental Clinic 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.
Location Map
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 General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- Taxonomy Description
- 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.
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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D0668602
- Facility Type
- Health Main. Organization
- Certificate Effective Date
- December 23, 2025
- Certificate Expiration Date
- December 22, 2027
- Laboratory Director
- DR. MARIA R. STITZEL
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Healthpartners Woodbury Dental Clinic on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083769335, enumerated as an "organization" on January 25, 2007.
The provider is located at 8325 SEASONS PKWY STE 103 WOODBURY, MN 55125 and the phone number is (651) 702-5848.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
