Provider Demographics
NPI:1659095388
Name:JAMIE ST MARIE DDS PLLC
Entity Type:Organization
Organization Name:JAMIE ST MARIE DDS PLLC
Other - Org Name:ANOKA RAMSEY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ST. MARIE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:763-427-8117
Mailing Address - Street 1:5400 140TH AVE NW STE 104
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:MN
Mailing Address - Zip Code:55303-3949
Mailing Address - Country:US
Mailing Address - Phone:763-427-8117
Mailing Address - Fax:
Practice Address - Street 1:5400 140TH AVE NW
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:MN
Practice Address - Zip Code:55303-4863
Practice Address - Country:US
Practice Address - Phone:507-696-4361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-27
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental