R Angela Wandera in Eden Prairie - Orthodontics And Dentofacial Orthopedics
R Angela Wandera - NPI 1144206863
R Angela Wandera is a Orthodontics And Dentofacial Orthopedics in Eden Prairie, Minnesota. R Angela Wandera practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for R Angela Wandera is 1144206863. The last update date is 2007-07-08.
R Angela Wandera's current location address is 8785 Columbine Rd, Eden Prairie, Minnesota. You can contact this provider via phone number 9529417393 and fax number 9529412162. The mailing address for R Angela Wandera is 8785 Columbine Rd, Eden Prairie, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | R Angela Wandera |
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Address | 8785 Columbine Rd, Eden Prairie, Minnesota |
Phone Number | 9529417393 |
Fax Number | 9529412162 |
Sole Proprietor | Y |
Credentials | DDS, MS |
NPI Number Detail
NPI Number | 1144206863 |
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Provider Enumeration Date | 2005-12-15 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 8785 Columbine Rd |
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City | Eden Prairie |
State | Minnesota (MN) |
Post Code | 553446695 |
Phone Number | 9529417393 |
Fax Number | 9529412162 |
Provider's Primary Taxonomy Detail
Speciality | Orthodontics And Dentofacial Orthopedics |
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Taxonomy | 1223X0400X |
Licence No | D11618 |
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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15212 | MN | DORAL |
Post Comment/ Review Below
What is the unique identifier code issued to R Angela Wandera by the Centers for Medicare & Medicaid Services?
The R Angela Wandera has been assigned the NPI (National Provider Identifier) 1144206863. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where R Angela Wandera is physically located?
The R Angela Wandera is situated at the following address: 8785 Columbine Rd, Eden Prairie, MN 553446695.
What is R Angela Wandera's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for R Angela Wandera is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy classification code for this specialized field is 1223X0400X.
On what date did R Angela Wandera receive its 1144206863 assignment from the Centers for Medicare & Medicaid Services?
The R Angela Wandera was assigned its 1144206863 on 2005-12-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding R Angela Wandera, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to R Angela Wandera, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.