Axel Bergstedt And Johnson Pa
LBN: Tonka Smiles
Axel Bergstedt And Johnson Pa is an health care organization with primary practice located at 11601 Minnetonka Mills Rd Ste D40, Minnetonka MN 55305. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Tonka Smiles can be contacted via phone (952) 938-8533, or through Bergsteadt, Timothy M via phone (952) 938-8533.
Contact Information
Primary practice address
11601 Minnetonka Mills Rd Ste D40
Minnetonka MN 55305
Phone: (952) 938-8533
Fax: (952) 938-9321
Website:
Authorized official contact:
Name: Bergsteadt, Timothy M Doctor of Dental Surgery (DDS)
Phone: (952) 938-8533
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 8734 | Minnesota |
| Dental Providers / Dentist | 122300000X | 10769 | Minnesota |
| Dental Providers / Dentist | 122300000X | 11571 | Minnesota |
Profile Details
| NPI number | 1780790881 |
|---|---|
| LBN Legal business name | Tonka Smiles |
| DBA Doing business as | Axel Bergstedt And Johnson Pa |
| Authorized official | Bergsteadt, Timothy M Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Jul 16th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780790881 | NPPES |
| Minnesota | MEDICAID | 056216500 | |
| Minnesota | MEDICAID | 168135400 | |
| Minnesota | MEDICAID | 773218000 |
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