A GENTLE DENTAL CENTER OF ROGERS (NPI# 1124198635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124198635 |
| Entity Type | Organization |
| Organization Name | A GENTLE DENTAL CENTER OF ROGERS |
| Practice Address |
14115 James Rd Suite 303 Rogers MN 55374-9468 |
| Practice Telephone | 7634282226 |
| Practice Fax Number | 7634283407 |
| Mailing Telephone | 7634282226 |
| Mailing Fax Number | 7634283407 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JILL PUCEL KOOPMAN (OWNER) |
| Authorized Official Telephone | 7634282226 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D11666 | MN | Dental Providers |
| Street Address |
14115 JAMES RD SUITE 303 |
| City | ROGERS |
| State | MN |
| Zip Code | 55374-9468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093704520 | Jill Heather Pucel-koopman | Dentist | 14115 James Rd, Suite 303, Rogers, MN 55374-9468 | 2005-10-18 |
| 1952809899 | Shireen June Ghanatabadi | Counselor | 14115 James Rd, Rogers, MN 55374-9468 | 2018-01-25 |
| 1295131779 | Vanda Counseling and Psychological Services | Community/Behavioral Health | 14115 James Rd, Rogers, MN 55374-9468 | 2014-11-11 |
| 1902142227 | Ashley Walters | Social Worker | 14115 James Rd, Rogers, MN 55374-9468 | 2012-12-13 |
| 1245486687 | Johnston Chiropractic Clinic Pa | Chiropractor | 14115 James Rd, #302, Rogers, MN 55374-9468 | 2008-08-18 |
| 1174691182 | Christopher Louis Zacharias | Dentist | 14115 James Rd, Rogers, MN 55374-9468 | 2006-11-30 |
| 1669577516 | Antoinette R Vanstelten | Psychologist | 14115 James Rd, Ste. 305, Rogers, MN 55374-9468 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609335835 | Rebecca Loehrer | Nurse Practitioner | 21370 Ste 210 John Milless Dr., Rogers, MN 55374 | 2019-03-18 |
| 1255722328 | Samantha Colai | Marriage & Family Therapist | 21307 John Milless Drive, Suite 106, Rogers, MN 55374 | 2015-02-11 |
| 1437559648 | Jamie Mosley | Counselor | 2100 Rogers Drive, Suite 200, Rogers, MN 55374 | 2014-08-26 |
| 1295145886 | Marisa Kolasa | Massage Therapist | 22290 Oakdale Drive, Rogers, MN 55374 | 2014-05-05 |
| 1871878165 | Derek P Doty Dc Inc | Chiropractor | 21410 136th Ave N, Suite 105a, Rogers, MN 55374 | 2011-10-18 |
| 1912205865 | Michelle Cheryl Finnegan-larson | Registered Nurse | 21308 John Milless Drive, Rogers, MN 55374 | 2011-03-02 |
| 1639402571 | Ascend Family Institute | Community/Behavioral Health | 20980 Rogers Drive, #400, Rogers, MN 55374 | 2009-09-10 |
| 1275738403 | Nicole M Clements | Physician Assistant | 1355 Rogers Drive, Rogers, MN 55374 | 2007-06-18 |
| 1558566166 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 21455 John Milless Drive, Rogers, MN 55374 | 2007-06-15 |
| 1811062854 | Randall Alvin Hohbein | Pharmacist | 21351 John Milless Drive, Rogers Drug, Rogers, MN 55374 | 2006-11-22 |
| Find all providers in zip 55374 | ||||
| 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 |
|---|---|---|---|---|
| 1043826944 | Atlas Dental Partners Pllc | Dentist | 3903 W Financial Pkwy, Rogers, AR 72758-1471 | 2020-09-17 |
| 1144848490 | Abbey Lynn Norwood | Dentist | 5501 W Pinnacle Pointe Dr Ste 1, Rogers, AR 72758-8133 | 2020-07-13 |
| 1669035770 | River Dental Rogers South, Pllc | Dentist | 2603 W Pleasant Grove Rd Ste 111, Rogers, AR 72758-8514 | 2019-04-16 |
| 1336631084 | Casey Dominguez | Dentist | 3920 W Walnut St, Rogers, AR 72756-1809 | 2018-05-30 |
| 1699266338 | James Tristan Ray Hudson | Dentist | 513 S Dodson Rd Apt Q4, Rogers, AR 72758-7318 | 2018-05-29 |
| 1841610706 | Dental Health Associates of Arkansas, P.a. | Dentist | 2886 W Walnut St, Rogers, AR 72756-0335 | 2014-04-18 |
| 1962827857 | M. Trent Gubler, Dds, PC | Dentist | 805 N 20th Pl Ste 2, Rogers, AR 72756-3571 | 2014-02-28 |
| 1871859496 | Fisher Denture & Dental Care | Dentist | 4404 W. Walnut, Suite 2, Rogers, AR 72756 | 2012-04-09 |
| 1164734182 | Heather V Adams | Dentist | 4805 W Highland Knolls Rd Ste 300, Rogers, AR 72758-7027 | 2010-07-07 |
| 1952538159 | Laura L Bonner | Dentist | 402 S Metro Pkwy, Rogers, AR 72758-8530 | 2009-06-15 |
| Find all providers in ROGERS | ||||
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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.