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Organization
TWIN CITIES CHILDREN'S GENERAL ANESTHESIA DENTISTRY, PLLC
Active
Organization
TWIN CITIES CHILDREN'S GENERAL ANESTHESIA DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY WHEELER (CEO)
(301) 494-3000
Entity
Organization
Contact information
Practice address
1997 SLOAN PL STE 30, MAPLEWOOD, MN 55117-2051
(651) 383-3333
(651) 383-8888
Mailing address
1997 SLOAN PL STE 30, MAPLEWOOD, MN 55117-2051
(651) 383-3333
(651) 661-7375
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
—
NULL
1223D0004X
Dental Anesthesiology
—
—
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
207LP3000X
Pediatric Anesthesiology Physician
—
NULL
207LP3000X
Pediatric Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
03/18/2026
Last updated
10/07/2026
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