1225140593 NPI number — DR. BIRGIT TOFTAGER SCHOLD DDS

Table of content: DR. BIRGIT TOFTAGER SCHOLD DDS (NPI 1225140593)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225140593 NPI number — DR. BIRGIT TOFTAGER SCHOLD DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHOLD
Provider First Name:
BIRGIT
Provider Middle Name:
TOFTAGER
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LARSEN
Provider Other First Name:
BIRGIT
Provider Other Middle Name:
TOFTAGER
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1225140593
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/19/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
600 MARKET STREET
Provider Second Line Business Mailing Address:
SUITE 130
Provider Business Mailing Address City Name:
CHANHASSEN
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55317
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
952-937-5200
Provider Business Mailing Address Fax Number:
952-937-5900

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
600 MARKET ST
Provider Second Line Business Practice Location Address:
SUITE 130
Provider Business Practice Location Address City Name:
CHANHASSEN
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55317-9443
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
952-937-5200
Provider Business Practice Location Address Fax Number:
952-937-5900
Provider Enumeration Date:
08/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  MN10822 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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