DR. ROGER ALAN MONDALE (NPI# 1023170248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023170248 |
| Entity Type | Individual |
| Full Name | DR. ROGER ALAN MONDALE |
| Credential | D.D S. |
| Practice Address |
10600 Old County Rd. 15 Suite 120 Plymouth MN 55441 |
| Mailing Address |
10600 Old County Rd 15 Suite 120 Plymouth MN 55441 |
| Practice Telephone | 7635128500 |
| Practice Fax Number | 7635128592 |
| Mailing Telephone | 7635128500 |
| Mailing Fax Number | 7635128592 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2009-12-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D7579 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 970215600 | 05 |
| Street Address |
10600 OLD COUNTY RD. 15 SUITE 120 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| 1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
| 1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
| 1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| 1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
| 1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
| Find all providers in zip 55441 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749522 | Berman Family Dentistry Pllc | Dentist | 9430 S Main St Ste 1, Plymouth, MI 48170-4149 | 2020-10-28 |
| 1649886748 | Advanced Family Dentistry-plymouth Pllc | Dentist | 44644 Ann Arbor Rd W Ste F, Plymouth, MI 48170-4089 | 2020-09-23 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1801387501 | Kwon Yang | Dentist | W 9071 Forest Drive, Plymouth, WI 53073 | 2018-05-29 |
| 1043720675 | Taylor Dental Associates PC | Dentist | 106 Colony Place Rd, Plymouth, MA 02360-7233 | 2017-10-10 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| 1831565969 | Annelise Nelson | Dentist | 15535 34th Ave N Ste 250, Plymouth, MN 55447-2171 | 2015-08-12 |
| 1467870303 | Paul Boettner Dds Pllc | Dentist | 1485 County Road 101 N, Plymouth, MN 55447-3053 | 2014-03-28 |
| 1083037931 | Nicole Haus | Dentist | 3001 Harbor Ln N Ste 100, Plymouth, MN 55447-8740 | 2014-01-29 |
| 1669743738 | W H Dental, Pllc | Dentist | 17610 19th Ave N, Suite 8, Plymouth, MN 55447-2600 | 2012-01-22 |
| Find all providers in PLYMOUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.