Todd Eric Thierer, DDS | |
2500 Como Ave, Saint Paul, MN 55108 | |
(651) 647-2525 | |
(651) 632-8984 |
Full Name | Todd Eric Thierer |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 2500 Como Ave, Saint Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851408165 | NPI | - | NPPES |
01354916 | Medicaid | NY | |
7876 | Other | BLUE SHIELD GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 041625-1 (New York) | Secondary |
122300000X | Dentist | D13000 (Minnesota) | Primary |
Entity Name | University Of Minnesota Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
Entity Name | Group Health Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Entity Name | Regents Of The University Of Minnesota |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114019858 PECOS PAC ID: 7416856059 Enrollment ID: O20040102000679 |
Mailing Address | Practice Location Address |
---|---|
Todd Eric Thierer, DDS 8170 33rd Ave S, Bloomington, MN 55425-4516 Ph: (952) 883-5151 | Todd Eric Thierer, DDS 2500 Como Ave, Saint Paul, MN 55108 Ph: (651) 647-2525 |
Dr. Julie C Haman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1514 White Bear Ave N, Saint Paul, MN 55106 Phone: 651-774-0311 Fax: 651-776-3286 | |
Dr. Charles H. Mendes, Dentist Medicare: Medicare Enrolled Practice Location: 550 Snelling Ave S, Saint Paul, MN 55116 Phone: 651-699-0404 Fax: 651-699-9034 | |
Joseph Paul Trowbridge, DDS Dentist Medicare: Medicare Enrolled Practice Location: 30 7th St E, Suite101, Saint Paul, MN 55101 Phone: 651-227-6646 Fax: 651-227-6523 | |
Dr. Minerva C Park, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 555 Wabasha St N Ste 250, Saint Paul, MN 55102 Phone: 651-292-9331 | |
Dr. Jake Samuel Kalkstein, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 450 Syndicate St N Ste 300, Saint Paul, MN 55104 Phone: 651-254-7373 | |
Munira Yusuf, Dentist Medicare: Not Enrolled in Medicare Practice Location: 450 Syndicate St N Ste 300, Saint Paul, MN 55104 Phone: 651-254-7373 | |
Freeman Newton Rosenblum, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 411 Main St, Suite 400, Saint Paul, MN 55102 Phone: 651-224-4969 Fax: 651-223-8047 |