# TWIN CITIES CHILDREN'S GENERAL ANESTHESIA DENTISTRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073461810
- **Authorized official:** JEFFREY WHEELER (CEO)
- **Authorized official phone:** (301) 494-3000

## Contact information

- **Practice address:** 1997 SLOAN PL STE 30, MAPLEWOOD, MN 55117-2051
- **Practice address phone:** (651) 383-3333
- **Practice address fax:** (651) 383-8888
- **Mailing address:** 1997 SLOAN PL STE 30, MAPLEWOOD, MN 55117-2051
- **Mailing address phone:** (651) 383-3333
- **Mailing address fax:** (651) 661-7375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0004X | Dental Anesthesiology | — | NULL | — |
| 1223D0004X | Dental Anesthesiology | — | — | — |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 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