DR. ELIZABETH M KELLOGG (NPI# 1518026947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518026947 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH M KELLOGG |
| Credential | DMD |
| Practice Address |
2717 Superior Dr Nw Rochester MN 55901-1773 |
| Practice Telephone | 5072813121 |
| Mailing Telephone | 5072813121 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D10312 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447438 | Elizabeth Kellogg | Counselor | 100 George P Hassett Dr, Medford, MA 02155-3258 | 2020-11-04 |
| 1366930141 | Elizabeth Ryan Kellogg | Family Medicine | 1105 N Lafayette Dr Ste A, Sumter, SC 29150-2984 | 2018-04-26 |
| 1679813547 | Elizabeth Laurel Kellogg | Dietitian, Registered | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2013-02-28 |
| Street Address |
2717 SUPERIOR DR NW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55901-1773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275859159 | Associates In Oral and Maxillofacial Surgery, P.a. | Dentist | 2717 Superior Dr Nw, Suite B, Rochester, MN 55901-3035 | 2010-04-16 |
| 1285888024 | Associates In Oral and Maxillofacial Surgery, P.a. | Dentist | 2717 Superior Dr Nw, Suite B, Rochester, MN 55901-3035 | 2008-11-06 |
| 1285796540 | Bruce Alan Lund | Dentist | 2717 Superior Dr Nw, Rochester, MN 55901-1773 | 2006-12-14 |
| 1720149529 | Phillip Dana Vickers | Dentist | 2717 Superior Dr Nw, Suite B, Rochester, MN 55901-1773 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1497303150 | Tatenda Valentine Rudziva | Nurse Practitioner | 2989 315 Elton Hills Drive Nw, Suite 201, Rochester, MN 55901 | 2019-08-27 |
| 1629566872 | Juan Simon Rico Mesa | Student in an Organized Health Care Education/Training Program | 4502 Medical Drive, San Antonio, 78229, San Antonio, TX 55901 | 2018-04-24 |
| 1336658277 | Minnesota Teen Challenge | Exclusive Provider Organization | 1542 Assisi Drive Nw, Rochester, MN 55901 | 2017-09-22 |
| 1235648270 | Mariah Adanene | Registered Nurse | 915 41st Street Nw, Rochester, MN 55901 | 2017-09-21 |
| 1912420639 | Anna Maria Schuman | Speech-Language Pathologist | 2746 Superior Drive Nw, Suite Number 150, Rochester, MN 55901 | 2017-07-25 |
| 1871013870 | Rhonda Keith | Counselor | 602 11th Avenue Nw #300, Rochester, MN 55901 | 2017-06-21 |
| 1548794316 | Trevor Kindle | Ophthalmology | 200 1st Ave Nw, Rochester, MN 55901 | 2017-04-18 |
| 1659810844 | Rx Team Home Health Care LLC | Home Health | 1027 7th St Nw Unit #204, Rochester, MN 55901 | 2017-02-21 |
| 1457713109 | Joshua Carter | Chiropractor | 3270 19th St Nw Ste 203, Rochester, MN 55901 | 2016-03-22 |
| Find all providers in zip 55901 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407193113 | Michael Anthony Molisani | Dentist | 1972 Clinton Ave S, Rochester, NY 14618-5620 | 2013-01-15 |
| 1063763100 | Zohair Mazhar Qureshi | Dentist | 770 Fetzner Rd, Rochester, NY 14626-1848 | 2012-09-28 |
| 1811208424 | Grant Conrad Collins | Dentist | 1340 Salem Rd Sw, Rochester, MN 55902 | 2010-06-29 |
| 1447467535 | John F Lawson IIi | Dentist | 2460 N Broadway, Rochester, MN 55906 | 2007-05-17 |
| 1578687810 | Charles Edward Praska | Dentist | 15 7th Ave Nw, Rochester, MN 55901-6298 | 2007-03-19 |
| 1952433427 | Suzanne Cassata D.d.s. | Dentist | 1 Ridge Rd W, Rochester, NY 14615-3030 | 2007-03-11 |
| 1063572667 | Larry K Aagesen | Dentist | 1000 W University Suite 200, Rochester, MI 48307-1875 | 2006-12-12 |
| 1346336773 | Deborah L Fox | Dentist | 505 Long Pond Rd, Rochester, NY 14612-3005 | 2006-10-05 |
| 1497853329 | Steven Kazley | Dentist | 1688 Monroe Ave, Rochester, NY 14618-1417 | 2006-09-21 |
| 1942204714 | Bradley D Kaufman | Dentist | 925 E Henrietta Rd, Rochester, NY 14623-1409 | 2005-06-09 |
| Find all providers in ROCHESTER | ||||
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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.