MEDICARE: QUALITY DENTISTRY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center	12107	MN

General Provider Information

NPI Number	:	1659355055
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY DENTISTRY INC

Provider Business Mailing Address
First Line	:	1736 COPE AVE E
Second Line	:
City	:	MAPLEWOOD
State	:	MN
Zip	:	55109-2610
Country	:	US
Telephone Number	:	651-770-2951
Fax Number	:	651-770-2952

Provider Business Practice Location Address
First Line	:	1736 COPE AVE E
Second Line	:
City	:	MAPLEWOOD
State	:	MN
Zip	:	55109-2610
Country	:	US
Telephone Number	:	651-770-2951
Fax Number	:	651-770-2951

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DAT PHAM
Credential	:	DDS
Telephone Number	:	651-770-2951

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1194496471 — ZERO DISTANCE ACUPUNCTURE LLC
Practice Location Address:

1736 COPE AVE E STE A2
MAPLEWOOD, MN
55109-2610

Practice Phone: 612-261-7300
Practice Fax:

1659042935 — GANG YIN
Practice Location Address:

1736 COPE AVE E STE A2
MAPLEWOOD, MN
55109-2610

Practice Phone: 612-258-5757
Practice Fax:

1831197409 — MAYER OPTICAL SHOP, INC.
Practice Location Address:

1736 COPE AVE E
MAPLEWOOD, MN
55109-2610

Practice Phone: 651-770-2975
Practice Fax: 651-748-1452

1295822591 — DR. MICHAEL JONATHON SPLETT DDS
Practice Location Address:

1736 EAST COPE AVE
MAPLEWOOD, MN
55109-2610

Practice Phone: 651-770-3831
Practice Fax: 651-770-9645

1578650875 — DR. SCOTT WILLIAM KAJER DDS
Practice Location Address:

1736 EAST COPE AVE
MAPLEWOOD, MN
55109-2610

Practice Phone: 651-770-3831
Practice Fax: 651-770-9645

1831286137 — DR. RICHARD JOSEPH PROKOSCH
Practice Location Address:

1736 EAST COPE AVE
MAPLEWOOD, MN
55109-2610

Practice Phone: 651-770-3831
Practice Fax: 651-770-9645

Directions to “QUALITY DENTISTRY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.