ROSSODONTICS DENTAL SLEEP MEDICINE (NPI# 1588094171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588094171 |
| Entity Type | Organization |
| Organization Name | ROSSODONTICS DENTAL SLEEP MEDICINE |
| Practice Address |
1068 Lake St S Sutie #205 Forest Lake MN 55025-2639 |
| Mailing Address |
865 Quentin Ave S Lakeland MN 55043-9533 |
| Practice Telephone | 6514646988 |
| Practice Fax Number | 6514642920 |
| Mailing Telephone | 6514366368 |
| Mailing Fax Number | 6514366368 |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2015-07-01 |
| Authorized Official Name | DR. GREGORY KENT ROSS (OWNER) |
| Authorized Official Telephone | 6512079400 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D10565 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912457003 | Rossodontics Dental Sleep Medicine | Dentist | 2215 Vine St, Suite B, Hudson, WI 54016-5802 | 2016-10-12 |
| Street Address |
1068 LAKE ST S SUTIE #205 |
| City | FOREST LAKE |
| State | MN |
| Zip Code | 55025-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770588188 | William Howard Stackpole | Dentist | 1068 Lake St S, Ste 210, Forest Lake, MN 55025-2634 | 2005-06-14 |
| 1699238139 | Forest Lake Smiles, Pa | Clinic/Center | 1068 Lake St S, Forest Lake, MN 55025-2639 | 2019-04-11 |
| 1164811295 | Megan Mikulski | Counselor | 1068 Lake St S, Suite 12, Forest Lake, MN 55025-2639 | 2015-01-13 |
| 1134412844 | Laura A D Kunde | Counselor | 1068 Lake St S, #109, Forest Lake, MN 55025-2639 | 2011-05-27 |
| 1518266162 | Adrienne M Kovar | Social Worker | 1068 Lake St S, Ste 109, Forest Lake, MN 55025-2633 | 2011-03-22 |
| 1164728176 | Julie Eschenlauer | Psychologist | 1068 Lake St S, Suite 12, Forest Lake, MN 55025-2639 | 2011-02-08 |
| 1932438777 | Timothy James Sheehan | Psychologist | 1068 Lake St S, Forest Lake, MN 55025-2639 | 2009-12-07 |
| 1932437126 | Jorja Jamison | Counselor | 1068 Lake St S, Ste 109, Forest Lake, MN 55025-2633 | 2009-11-25 |
| 1477795615 | Breanna Dee Herbst | Counselor | 1068 Lake St S, Suite 12, Forest Lake, MN 55025-2639 | 2009-04-02 |
| 1699913327 | Ann R.s. Trench | Social Worker | 1068 Lake St S, Suite 1z, Forest Lake, MN 55025-2639 | 2009-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043846173 | Persistence Physical Therapy LLC | Clinic/Center | 2009 W Broadway Ave, Ste 400 Pmb 131, Forest Lake, MN 55025 | 2020-03-20 |
| 1255973319 | Connie Rettig | Technician | 908 North Shore Drive, Forest Lake, MN 55025 | 2019-10-10 |
| 1003394479 | Malissa Ann Costanzo | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 844 8th Ave Se, Forest Lake, MN 55025 | 2018-07-30 |
| 1669754735 | Brent Alan Millard | Pharmacist | 1207 West Broadway Ave, Forest Lake, MN 55025 | 2011-09-15 |
| 1982842167 | Lakes Center for Youth and Families | Community/Behavioral Health | 20 N Lake Street, Suite 103, Forest Lake, MN 55025 | 2009-01-27 |
| 1487843355 | Paul Luke Mladnick | Marriage & Family Therapist | 1068 So Lake St, #109, Forest Lake, MN 55025 | 2007-10-17 |
| 1740477678 | Rita Lynn Scanlan | Occupational Therapist | 604 Ne 1st St, Birchwood Health Care Center, Forest Lake, MN 55025 | 2007-09-25 |
| 1114053113 | Senior Care Forest Lake, LLC | Skilled Nursing Facility | 604 N.e. First Street, Forest Lake, MN 55025 | 2007-02-26 |
| 1073672101 | Catharine B Ruther | Dentist | 956 West Broadway, Lakes Dental Clinic, Forest Lake, MN 55025 | 2006-12-06 |
| 1407914849 | Ervin George Savord | Dentist | 255 Highway 97, Suite 1b, Forest Lake, MN 55025 | 2006-12-05 |
| Find all providers in zip 55025 | ||||
| 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 |
|---|---|---|---|---|
| 1609993278 | Travis William Wille | Dentist | 69 Lake St N, Suite #100, Forest Lake, MN 55025-2513 | 2007-03-26 |
| 1023452638 | Forest Lake Orthodontics | Dentist | 25 Lake St N, Suite 135, Forest Lake, MN 55025-2535 | 2013-04-25 |
| 1477607075 | Gregory K. Ross | Dentist | 1068 Lake St S, Suite 205, Forest Lake, MN 55025-2639 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100974 | Candid Minnesota, Pllc | Dentist | 15 S 9th St Ste 97, Minneapolis, MN 55402-3105 | 2020-09-23 |
| 1518572916 | Smile Orthodontics Stillwater LLC | Dentist | 2008 Ford Pkwy, Saint Paul, MN 55116-1931 | 2020-09-11 |
| 1508476482 | Sensational Smiles | Dentist | 950 Nicollet Mall Ste 220, Minneapolis, MN 55403-2534 | 2020-08-05 |
| 1457969636 | Eden Prairie Orthodontic Assoc | Dentist | 8200 Commonwealth Dr # 100, Eden Prairie, MN 55344-5365 | 2020-07-14 |
| 1164040457 | Colby Orthodontics LLC | Dentist | 9th St. and Nicollet Ave. Suite 531, Minneapolis, MN 55402 | 2020-07-13 |
| 1619595220 | Tracy Miao Liang | Dentist | 515 Delaware St Se # 320, Minneapolis, MN 55455-0357 | 2020-07-09 |
| 1477170108 | Jesse N Veil Dds Ms Pa | Dentist | 250 Fuller St S Ste 100, Shakopee, MN 55379-1324 | 2020-06-29 |
| 1124663067 | Bruce William Anderson | Dentist | 2725 Fox Farm Rd, Worthington, MN 56187-3040 | 2019-11-14 |
| 1598300675 | Dentalign, Pa | Dentist | 11942 Business Park Blvd, Champlin, MN 55316 | 2019-11-12 |
| 1528622883 | Margaret Therese Anderson | Dentist | 2019 Jefferson Rd Ste C, Northfield, MN 55057-3258 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
| City | FOREST LAKE |
| Zip Code | 55025 |
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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.