KATHLEEN MATTISON (NPI# 1407239833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407239833 |
| Entity Type | Individual |
| Full Name | KATHLEEN MATTISON |
| Practice Address |
12 S River St Cook MN 55723-8131 |
| Mailing Address |
8540 215th St N Forest Lake MN 55025-9114 |
| Practice Telephone | 2183613149 |
| Mailing Telephone | 6513411521 |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D13519 | MN | Dental Providers |
| Street Address |
12 S RIVER ST |
| City | COOK |
| State | MN |
| Zip Code | 55723-8131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225258320 | Turning Point Counseling Pa | Marriage & Family Therapist | 19 E Vermilion Dribe, Suite B, Cook, MN 55723 | 2007-04-30 |
| 1639295124 | Linda Ann Albertson | Marriage & Family Therapist | 19 E Vermillon Dr, Suite B Turning Point Counseling Pa, Cook, MN 55723 | 2007-03-22 |
| 1093850950 | City of Cook | Ambulance | 127 S River St, Cook, MN 55723 | 2007-02-20 |
| 1346337128 | Franks Pharmacy Inc | Pharmacy | #1 West Vermilion Drive, Cook, MN 55723 | 2006-10-05 |
| 1164514493 | Cook Chiropractic Center Ltd. | Chiropractor | 19 E Vermilion Dr, Po 395, Cook, MN 55723 | 2006-09-28 |
| 1497930861 | Bradley Scott Horoshak | Chiropractor | 19 E Vermilion Dr, Po 395, Cook, MN 55723 | 2008-01-04 |
| 1508086679 | Speare Psychological Services Pa | Psychologist | 225 1st St N, Suite 3100, Virginia, MN 55723 | 2007-04-30 |
| 1750421160 | Jerel Dean Johnson | Technician/Technologist | 23 East Vermilion Ave, Cook, MN 55723-0127 | 2007-02-07 |
| 1275731317 | Minnesota Correctional Facility -togo | Substance Abuse Rehabilitation Facility | 62741 County Road 551, Togo, MN 55723-4509 | 2007-07-10 |
| 1659508182 | True Care Medical Therapy Center Inc | Occupational Therapist | 221 Highway 53, Suite D, Cook, MN 55723-5102 | 2009-06-10 |
| Find all providers in zip 55723 | ||||
| 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 |
|---|---|---|---|---|
| 1104963313 | Harpreet Kaur | Dentist | Scenic River Health Services, 20 Fifth St Se, Cook, MN 55723-9719 | 2007-01-30 |
| 1962069914 | Peggy Jean Stepan | Dentist | 20 5th St Se, Cook, MN 55723-9702 | 2019-05-24 |
| 1740717271 | Michael Morris Talberg | Dentist | 20 5th St Se, Cook, MN 55723-9702 | 2017-05-15 |
| 1538120712 | Timothy Sprouls | Dentist | 20 5th St Se, Cook, MN 55723-9702 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788498 | Modern Dental Professionals | Dentist | 676 County Road 10 Ne, Blaine, MN 55434-2329 | 2020-10-22 |
| 1588261812 | New London Family Dental | Dentist | 15 Ash St Se, New London, MN 56273 | 2020-10-09 |
| 1164036422 | Lolita Hicks | Dentist | 1290 Salem Rd Sw Ste 10, Rochester, MN 55902-4210 | 2020-09-03 |
| 1326650961 | Mcgann Family Dental | Dentist | 8981 33rd St N, Lake Elmo, MN 55042-9209 | 2020-08-17 |
| 1154931988 | Jordan Jeffrey Bolger | Dentist | 13899 Highway 15 S Frontage Rd, Savage, MN 55378-5537 | 2020-08-06 |
| 1285243733 | Grant R. Sorensen, Dds | Dentist | 1029 3rd Ave Ste 1, Worthington, MN 56187-2399 | 2020-07-29 |
| 1851909436 | Matthew Rohlf | Dentist | 5378 E Viking Blvd, Wyoming, MN 55092 | 2020-07-20 |
| 1205444106 | Sidra Zahooruddin | Dentist | 107 Dupont Ave, Nw, Renville, MN 56284 | 2020-07-16 |
| 1104434380 | Jongseuk Lim | Dentist | 1119 W Frontage Rd, Owatonna, MN 55060-5663 | 2020-07-14 |
| 1699393942 | Danika Elizabeth Jackson | Dentist | 237 Radio Dr Ste 110, Woodbury, MN 55125-4478 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
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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.