NORTH BENTON DENTAL CARE (NPI# 1700815008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700815008 |
| Entity Type | Organization |
| Organization Name | NORTH BENTON DENTAL CARE |
| Practice Address |
400 N Benton Dr Sauk Rapids MN 56379-1535 |
| Practice Telephone | 3202534206 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PAMELA JANE POGANSKI (OFFICE MANAGER) |
| Authorized Official Telephone | 3202534206 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
D7468 | MN | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
D11796 | MN | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D10858 | MN | Dental Providers |
| Street Address |
400 N BENTON DR |
| City | SAUK RAPIDS |
| State | MN |
| Zip Code | 56379-1535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417153818 | David A Russell | Dentist | 400 N Benton Dr, Sauk Rapids, MN 56379-1535 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366902116 | Tamara Jean Christopherson | Massage Therapist | 1000 South Benton Drive Suite 415, Sauk Rapids, MN 56379 | 2019-03-20 |
| 1144718594 | Jeanne Twohy Sopcinski | Registered Nurse | Independent Lifestyles, 215 North Benton Dr, Sauk Rapids, MN 56379 | 2018-05-01 |
| 1447748728 | Mamusu Lamin | Social Worker | Independent Life Styles, Inc, 215 N. Benton Drive, Sauk Rapids, MN 56379 | 2018-04-23 |
| 1518486570 | Mw Sauk Rapids Operating, LLC | Assisted Living Facility | 1325 Summit Avenue North, Sauk Rapids, MN 56379 | 2017-09-11 |
| 1942724505 | Ashley Ann Borth | Registered Nurse | 215 N Benton Drive, Independent Lifestyles, Inc, Sauk Rapids, MN 56379 | 2017-07-26 |
| 1568905115 | April May Richardson | Registered Nurse | 215 North Benton Drive, Independent Lifestyles, Inc, Sauk Rapids, MN 56379 | 2016-11-30 |
| 1841616877 | St. Cloud Hospital | Substance Abuse Rehabilitation Facility | 1495 10th Ave Ne, Sauk Rapids, MN 56379 | 2014-03-14 |
| 1811264575 | Pamela Berglund | Physical Therapist | 115 18th St Sw 209, Sauk Rapids, MN 56379 | 2011-11-23 |
| 1407141419 | Becky Ann Canon | Registered Nurse | 215 North Benton Dr, Independent Lifestyles Inc., Sauk Rapids, MN 56379 | 2011-06-17 |
| 1811100860 | Chris Matthew Mcgrew | Dentist | 22 2nd Av S, Sauk Rapids, MN 56379 | 2007-05-07 |
| Find all providers in zip 56379 | ||||
| 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 |
|---|---|---|---|---|
| 1811100860 | Chris Matthew Mcgrew | Dentist | 22 2nd Av S, Sauk Rapids, MN 56379 | 2007-05-07 |
| 1487716783 | David Norman Peterson | Dentist | 22 2nd Ave S, Sauk Rapids, MN 56379-1408 | 2006-12-14 |
| 1043370422 | Andrew Scott Wilcox | Dentist | 1201 Franklin Ave, Sauk Rapids, MN 56379-1226 | 2006-12-08 |
| 1851484471 | Curtis Johnson | Dentist | 400 N Benton Drive, Sauk Rapids, MN 56379 | 2006-10-02 |
| 1992297956 | Keshia R Milbauer | Dentist | 1201 Franklin Ave, Sauk Rapids, MN 56379-1226 | 2018-06-05 |
| 1538548573 | Erika M Theisen Dds Pllc | Dentist | 22 2nd Ave S, Sauk Rapids, MN 56379-1408 | 2015-05-22 |
| 1245530286 | Braunreiter Dental, Pllc | Dentist | 22 2nd Ave S, Sauk Rapids, MN 56379-1408 | 2010-10-25 |
| 1083934905 | Erika Marie Theisen | Dentist | 22 2nd Ave S, Sauk Rapids, MN 56379-1408 | 2010-06-02 |
| 1487840286 | David N Peterson, Dds Pa | Dentist | 22 2nd Ave S, Sauk Rapids, MN 56379-1408 | 2007-09-15 |
| 1417153818 | David A Russell | Dentist | 400 N Benton Dr, Sauk Rapids, MN 56379-1535 | 2007-06-22 |
| Find all providers in SAUK RAPIDS | ||||
| City | SAUK RAPIDS |
| Zip Code | 56379 |
Please comment or provide details below to improve the information on NORTH BENTON DENTAL CARE.
| 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.