Provider Demographics
NPI:1003035064
Name:CASSANDRA L ZIRBEL DDS MS
Entity Type:Organization
Organization Name:CASSANDRA L ZIRBEL DDS MS
Other - Org Name:ORTHODONTICS BY ZIRBEL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCIAL COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:M
Authorized Official - Last Name:LINDSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:CRDA
Authorized Official - Phone:651-452-3333
Mailing Address - Street 1:7729 79TH ST S
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55016-1832
Mailing Address - Country:US
Mailing Address - Phone:651-459-6674
Mailing Address - Fax:
Practice Address - Street 1:7729 79TH ST S
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55016-1832
Practice Address - Country:US
Practice Address - Phone:651-459-6674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN128921223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty