ROSEVILLE DENTISTRY (NPI# 1366810061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366810061 |
| Entity Type | Organization |
| Organization Name | ROSEVILLE DENTISTRY |
| Other Organization Name | TAMARA SIMONS & ASSOCIATES |
| Practice Address |
1912 Lexington Ave N Suite 100 Roseville MN 55113-6113 |
| Mailing Address |
1912 Lexington Ave N Suite 100 Rosevilee MN 55113-6105 |
| Practice Telephone | 6514891900 |
| Mailing Telephone | 6514891900 |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |
| Authorized Official Name | DR. TAMARA SIMONS (OWNER) |
| Authorized Official Telephone | 6512697061 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D10509 | MN | Dental Providers |
| Other Name | Type Code |
|---|---|
| Tamara Simons & Associates | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417191602 | Roseville Dentistry | Dentist | 1912 Lexington Ave N, Suite 200, Roseville, MN 55113-6113 | 2009-05-01 |
| Street Address |
1912 LEXINGTON AVE N SUITE 100 |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113-6113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255337564 | Lawrence H Kent | Dentist | 1912 Lexington Ave N, Roseville, MN 55113-6113 | 2005-06-22 |
| 1417191602 | Roseville Dentistry | Dentist | 1912 Lexington Ave N, Suite 200, Roseville, MN 55113-6113 | 2009-05-01 |
| 1730348335 | Bandana Chiropractic and Wellness Center Pa | Chiropractor | 1912 Lexington Ave N, Suite 250, Roseville, MN 55113-6113 | 2008-06-09 |
| 1215123856 | Bandana Chiropractic and Wellness Center Pa | Chiropractor | 1912 Lexington Ave N, Suite 250, Roseville, MN 55113-6113 | 2007-09-18 |
| 1912970062 | Karl Haakon Andreasen | Dentist | 1912 Lexington Ave N, Suite 150, Roseville, MN 55113-6154 | 2006-02-09 |
| 1437139870 | Tamara Lynn Simons | Dentist | 1912 Lexington Ave N, Suite 100, Roseville, MN 55113-6154 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| 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 |
|---|---|---|---|---|
| 1093313181 | Kourosh Seifolahi Bazarjani | Dentist | 1098 Woodcreek Oaks Blvd Apt 2804, Roseville, CA 95747-6234 | 2020-10-12 |
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1447878574 | Fatemeh Mahboub | Dentist | 500 Roseville Pkwy Apt 1315, Roseville, CA 95747-4682 | 2020-07-06 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1891287405 | Hadeel Alniemi | Dentist | 2690 Snelling Ave N # 250, Roseville, MN 55113-1700 | 2018-05-31 |
| 1952817264 | Fady A Khalil | Dentist | 1280 Laysan Teal Dr, Roseville, CA 95747-4643 | 2017-12-21 |
| 1336653294 | Insiyah Zanzi | Dentist | 1424 Blue Oaks Blvd, Roseville, CA 95747-7143 | 2017-11-29 |
| 1558872010 | Nafisa A Elmi | Dentist | 1700 Highway 36 W Ste 860, Roseville, MN 55113 | 2017-10-23 |
| 1891238929 | Magaly C Ferreira | Dentist | 2690 Snelling Ave N Ste 250, Roseville, MN 55113-1700 | 2016-11-21 |
| 1104374206 | Emilia Lavinia Dinea-berci | Dentist | 1259 Pleasant Grove Blvd Ste 100, Roseville, CA 95678-6974 | 2016-09-17 |
| Find all providers in ROSEVILLE | ||||
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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.