LAKE SARAH DENTAL PLLC (NPI# 1598179939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598179939 |
| Entity Type | Organization |
| Organization Name | LAKE SARAH DENTAL PLLC |
| Other Organization Name | LAKE SARAH DENTAL |
| Practice Address |
7500 State Highway 55 Suite 200 Greenfield MN 55373 |
| Practice Telephone | 7635758038 |
| Practice Fax Number | 7635758039 |
| Mailing Telephone | 7635758038 |
| Mailing Fax Number | 7635758039 |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2014-06-13 |
| Authorized Official Name | SARAH JOANNE MAGNUSON (OWNER) |
| Authorized Official Telephone | 6127187361 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D12538 | MN | Dental Providers |
| Other Name | Type Code |
|---|---|
| Lake Sarah Dental | Doing Business As Name - Organization |
| Street Address |
7500 STATE HIGHWAY 55 SUITE 200 |
| City | GREENFIELD |
| State | MN |
| Zip Code | 55373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457510596 | Sarah J Magnuson | Dentist | 7500 State Highway 55, Suite 200, Greenfield, MN 55373-6620 | 2008-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467785832 | Naomi Avis Yanta | Massage Therapist | 7948b Highway 55, Rockford, MN 55373 | 2009-09-16 |
| 1366699365 | Alliance Home Health Care, LLC | Home Health | 8973 Whisper Creek Trail, Greenfield, MN 55373 | 2008-08-20 |
| 1184797896 | Steve Karg | Chiropractor | 8060 Hwy 55, Rockford, MN 55373 | 2006-11-17 |
| 1912967084 | Ann I Fromell-theis | Dentist | 9000 Walnut Street, Rockford, MN 55373 | 2006-03-24 |
| 1790796159 | Rockford Chiropractic Corporation | Chiropractor | 9000 Walnut Street, Rockford, MN 55373 | 2006-08-11 |
| 1770651754 | Ind School Dist 883 | Local Education Agency (LEA) | 6051 Ash Street, Rockford, MN 55373-0009 | 2006-11-30 |
| 1558418236 | Buffie Chiropractic Clinic PC | Chiropractor | 8340 Bridge Street, Rockford, MN 55373-0207 | 2007-01-04 |
| 1134106818 | Corey J Brenner | Dentist | 9000 Walnut St, Rockford, MN 55373-0236 | 2005-12-23 |
| 1689824898 | Corey J Brenner Dds Pllc | Clinic/Center | 9000 Walnut St, Box 236, Rockford, MN 55373-0236 | 2008-09-24 |
| 1154799427 | Darcie Hanna | Counselor | 4984 Riveroaks Road, Rockford, MN 55373-1100 | 2015-09-03 |
| Find all providers in zip 55373 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033765045 | Ozarks Resource Group | Dentist | 413 W. Water St., Greenfield, MO 65661-1353 | 2019-08-15 |
| 1447645866 | Timothy C. Fish | Dentist | 262 Federal St, Greenfield, MA 01301-1931 | 2015-04-02 |
| 1457510596 | Sarah J Magnuson | Dentist | 7500 State Highway 55, Suite 200, Greenfield, MN 55373-6620 | 2008-06-04 |
| 1245411750 | Eva-marie Powers | Dentist | 168 E New Rd, Greenfield, IN 46140-9085 | 2007-11-27 |
| 1912199498 | Jorge Pinero | Dentist | 7308 W Layton Avenue, Greenfield, WI 53220 | 2007-08-17 |
| 1174721641 | Rafid Ismael Khamis | Dentist | 329 El Camino Real, Greenfield, CA 93927 | 2007-07-06 |
| 1255537353 | Edward G Garry | Dentist | 1200 N. State St., Greenfield, IN 46140-1055 | 2007-06-25 |
| 1669694287 | Lifetime Dental Care of Indiana, PC | Dentist | 168 East New Road, Greenfield, IN 46140 | 2007-05-03 |
| 1285768259 | Gary W Bardonner, Dds, Inc | Dentist | 940 N State St, Greenfield, IN 46140-1202 | 2007-03-14 |
| 1194878074 | James Arthur Landon | Dentist | 8430 W Forest Home Ave, Greenfield, WI 53228-3416 | 2007-01-22 |
| Find all providers in GREENFIELD | ||||
| City | GREENFIELD |
| Zip Code | 55373 |
Please comment or provide details below to improve the information on LAKE SARAH DENTAL PLLC.
| 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.