CHRISTOPHER BRUCE HERINGLAKE (NPI# 1306480686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306480686 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER BRUCE HERINGLAKE |
| Credential | DDS |
| Practice Address |
2305 Minnesota Blvd Saint Cloud MN 56304-2424 |
| Practice Telephone | 3202406781 |
| Mailing Telephone | 3202406781 |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D7913 | MN | Dental Providers |
| Street Address |
2305 MINNESOTA BLVD |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56304-2424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588741938 | Kathleen Konetzko | Nurse Practitioner | 2305 Minnesota Blvd, Minn Correctional Facility, Saint Cloud, MN 56304-2424 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316597701 | Liza Aberle | Naturopath | 22 Wilson Ave Ne # 205, Saint Cloud, MN 56304 | 2019-09-17 |
| 1902386089 | Jd Home Health Care | Clinic/Center | 4896 52nd St, St. Cloud, MN 56304 | 2018-08-17 |
| 1861490690 | Julia Anna Blonigen | Speech-Language Pathologist | 1882 Kilian Blvd, St Cloud, MN 56304 | 2005-07-14 |
| 1700111705 | St. Cloud Metropolitan Transit Commission | Non-emergency Medical Transport (VAN) | 665 Franklin Ave Ne, Saint Cloud, MN 56304-0225 | 2009-10-08 |
| 1053364976 | In Home Health LLC | Home Health | 605 Franklin Ave Ne, Saint Cloud, MN 56304-0225 | 2006-05-19 |
| 1376946806 | Charity Anne Hans | Social Worker | 511 3rd St Ne, Saint Cloud, MN 56304-0311 | 2014-09-29 |
| 1568082428 | Cloud Home Health Care Services LLC | Clinic/Center | 22 Wilson Ave Ne Ste 208, Saint Cloud, MN 56304-0440 | 2020-04-21 |
| 1326688417 | Sunshine Care Services Inc | In Home Supportive Care | 22 Wilson Ave Ne Ste 15, Saint Cloud, MN 56304-0440 | 2020-01-07 |
| 1295039204 | Rose Melinda Stark-rose | Psychologist | 22 Wilson Ave Ne # 110, Saint Cloud, MN 56304-0440 | 2011-01-05 |
| 1750448478 | Robin Stacey Colburn | Advanced Practice Midwife | 22 Wilson Ave Ne Ste 205, Saint Cloud, MN 56304-0440 | 2007-01-02 |
| Find all providers in zip 56304 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678927 | Talita Norberto Sizemore | Dentist | 1519 Jersey Ave, Saint Cloud, FL 34769-4248 | 2019-06-13 |
| 1942868849 | Xandria Johnson | Dentist | 2275 Nolte Rd., Saint Cloud, FL 34772-8763 | 2019-06-05 |
| 1386201093 | Victoria Figueroa | Dentist | 2275 Nolte Rd, Saint Cloud, FL 34772-8763 | 2019-05-29 |
| 1245726785 | Andrew Bezek | Dentist | 1026 4th St Se Ste 200, Saint Cloud, MN 56304-1371 | 2018-07-09 |
| 1104200948 | Funsho Afoluke Akinluyi | Dentist | 4128 2nd St S, Saint Cloud, MN 56301-3704 | 2015-07-10 |
| 1629450234 | Yang Hua | Dentist | 3300 Canoe Creek Rd, Saint Cloud, FL 34772-6511 | 2015-06-19 |
| 1992821706 | St. Cloud Technical College Community Dental Clinic | Dentist | 1540 Northway Dr, Saint Cloud, MN 56303-1240 | 2007-03-22 |
| 1922624279 | Jonathan Wirth | Dentist | 1950 S Narcoossee Rd, Saint Cloud, FL 34771-7204 | 2020-06-23 |
| 1881255677 | Crisalida Ulloa | Dentist | 2301 Old Canoe Creek Rd, Saint Cloud, FL 34772-7706 | 2019-06-24 |
| 1740841428 | Phuong Thuy Le Pham | Dentist | 2860 W Division St Ste 102, Saint Cloud, MN 56301-7330 | 2019-06-24 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56304 |
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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.