Organization
TWIN CITIES CHILDREN'S 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) 383-8888
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
—
—
207L00000X
Anesthesiology Physician
Primary
—
—
207LP3000X
Pediatric Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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