Provider Demographics
NPI:1790905966
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 1:1480 YANKEE DOODLE RD
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121-1801
Mailing Address - Country:US
Mailing Address - Phone:651-452-3333
Mailing Address - Fax:
Practice Address - Street 1:1480 YANKEE DOODLE RD
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55121-1801
Practice Address - Country:US
Practice Address - Phone:651-452-3333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-27
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN128921223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty