LAKELAND FAMILY DENTAL (NPI# 1538328059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538328059 |
| Entity Type | Organization |
| Organization Name | LAKELAND FAMILY DENTAL |
| Practice Address |
106 Broadway Street East Monticello MN 55362 |
| Mailing Address |
106 Broadway St East Monticello MN 55362-9351 |
| Practice Telephone | 7632953036 |
| Practice Fax Number | 7632954514 |
| Mailing Telephone | 7632953036 |
| Mailing Fax Number | 7632954514 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-13 |
| Authorized Official Name | FU WONG (PRESIDENT) |
| Authorized Official Telephone | 7634244415 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | FU WONG DDS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 10739 | MN | Dental Providers |
| Street Address |
106 BROADWAY STREET EAST |
| City | MONTICELLO |
| State | MN |
| Zip Code | 55362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275034886 | Great River Endodontics | Dentist | 9381 Cedar St., Monticello, MN 55362 | 2018-02-28 |
| 1467994962 | Jessica Borgstrom | Advanced Practice Midwife | 1001 Hart Blvd #100, Monticello, MN 55362 | 2016-11-15 |
| 1972922078 | Ashby Optometry PC | Optometrist | 1447 East 7th Street, Monticello, MN 55362 | 2014-04-16 |
| 1740612621 | Sarah Rowe | Physical Therapist | 1260 Mn-25, Monticello, MN 55362 | 2013-08-02 |
| 1144573775 | Kelley M Mcgowan | Physical Therapist | 211 Hwy 25, Monticello, MN 55362 | 2012-10-19 |
| 1275801581 | Roger William Hedtke | Pharmacist | 135 East Broadway, Monticello, MN 55362 | 2011-12-01 |
| 1811299019 | Pamela Marie Bertram | Social Worker | 228 W Broadway St, Monticello, MN 55362 | 2010-11-22 |
| 1265768220 | Back 2 Health Chiropractic, P.a. | Chiropractor | 1125 South Cedar St, Suite 109, Monticello, MN 55362 | 2009-10-27 |
| 1205038163 | Buffalo Dental Center | Dentist | 106 1 In A Half W Broadway, Monticello, MN 55362 | 2007-06-04 |
| 1770795924 | Monticello Physical Therapy & Sports Medicine, LLC | Physical Therapist | 1125 S Cedar Street Suite 103, Monticello, MN 55362 | 2007-05-03 |
| Find all providers in zip 55362 | ||||
| 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 |
|---|---|---|---|---|
| 1346648094 | Kayenta Dental | Dentist | 225 S. Main, Monticello, UT 84535 | 2014-12-11 |
| 1356693469 | Roscoe Milton Brady | Dentist | 214 W Washington St, Monticello, IL 61856-1653 | 2012-10-12 |
| 1194085977 | Steven M Tallent II | Dentist | 1225 N. Main St., Brummett Cosmetic and Family Dentistry, Monticello, KY 42633 | 2012-05-25 |
| 1184844888 | John Arthur Erickson | Dentist | 210 West Broadway, Monticello, MN 55362-0969 | 2007-04-26 |
| 1558496539 | Maureen Weyer Whipple | Dentist | 1 Fairchild Pl, Monticello, NY 12701-2005 | 2007-02-22 |
| 1326192832 | Alisa Morgan Hopper | Dentist | 433 South Main Street, Monticello, AR 71655 | 2007-01-22 |
| 1518014034 | Kevin J Stingley | Dentist | 139 S Main, Suite A, Monticello, IA 52310-0167 | 2007-01-05 |
| 1841357159 | David H Denson | Dentist | 121 E Shelton, Monticello, AR 71655 | 2007-01-03 |
| 1376605709 | Gerald O Miller | Dentist | 217 S 100 W, Monticello, UT 84535 | 2006-12-14 |
| 1891857223 | Brian James Goodwine | Dentist | 217 S 100 West, Monticello, UT 84535 | 2006-12-14 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 55362 |
Please comment or provide details below to improve the information on LAKELAND FAMILY DENTAL.
| 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.