ALBERT LEA DENTAL CLINIC PA (NPI# 1790856847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790856847 |
| Entity Type | Organization |
| Organization Name | ALBERT LEA DENTAL CLINIC PA |
| Other Organization Name | ROBERT S HEROLD DDS PA |
| Practice Address |
1206 W Front St Albert Lea MN 56007-1903 |
| Practice Telephone | 5073735968 |
| Practice Fax Number | 5073738410 |
| Mailing Telephone | 5073735968 |
| Mailing Fax Number | 5073738410 |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2008-04-23 |
| Authorized Official Name | DR. ROBERT G HEROLD (OWNER) |
| Authorized Official Telephone | 5073735968 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Robert S Herold DDS PA | Former Legal Business Name - Organization |
| Street Address |
1206 W FRONT ST |
| City | ALBERT LEA |
| State | MN |
| Zip Code | 56007-1903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730310442 | Wayne O Sletten Dds Msd Pa | Dentist | 1206 W Front St, Albert Lea, MN 56007-1903 | 2009-07-29 |
| 1285865006 | Wayne O Sletten Dds Msd Pa | Dentist | 1206 W Front St, Albert Lea, MN 56007-1903 | 2009-07-28 |
| 1093931446 | Wayne Orville Sletten | Dentist | 1206 W Front St, Albert Lea, MN 56007 | 2007-04-17 |
| 1336213339 | Steven K Bland | Dentist | 1206 W Front St, Albert Lea, MN 56007-1903 | 2006-11-20 |
| 1437220571 | Robert Gustav Herold | Dentist | 1206 W Front St, Albert Lea, MN 56007-1903 | 2006-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700395860 | Kelsey Paulson | Massage Therapist | 1629 West Main Street, Touchworks Massage Skyline Plaza, Albert Lea, MN 56007 | 2017-09-21 |
| 1366984536 | Allied Health Care Professional Service Corporation | Health Maintenance Organization | 140 W Clark St, Albert Lea, MN 56007 | 2016-11-05 |
| 1174875165 | Michael Gene White | Pharmacist | 1615 West Main St, Albert Lea, MN 56007 | 2012-10-15 |
| 1841596384 | Elizabeth Jordan Berg | Chiropractor | 72599 220th St, Albert Lea, MN 56007 | 2011-02-01 |
| 1235453606 | Michael Aaron Starner | Physician Assistant | 404 W Fountain St Unit 516, Albert Lea, MN 56007 | 2010-03-15 |
| 1215149364 | John M Enger, Professional Association | Podiatrist | 904 E Plaza Street, Albert Lea, MN 56007 | 2007-05-03 |
| 1760532485 | Lowell Wherry Barr | Pediatrics | 203 W Clark, Albert Lea, MN 56007 | 2007-01-12 |
| 1073688917 | Wendy Elizabeth Walker | Psychologist | 117 South Newton Avenue, Albert Lea, MN 56007 | 2006-11-22 |
| 1487739090 | Rem Woodvale Inc | Intermediate Care Facility, Mentally Retarded | 1204 Plainview Lane, Albert Lea, MN 56007 | 2006-10-25 |
| 1275621294 | Eleanor Wanden | Technician | 1815 Minnesota Ave, Albert Lea, MN 56007 | 2006-10-11 |
| Find all providers in zip 56007 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104435585 | Fountain Lake Family Dental | Clinic/Center | 146 W Clark St, Albert Lea, MN 56007-2546 | 2020-07-30 |
| 1043621741 | Vu Dental Services LLC | Clinic/Center | 141 E William St, Albert Lea, MN 56007-2530 | 2014-05-15 |
| 1114208014 | Uptown Dental Associates,pa | Clinic/Center | 141 E William St, Albert Lea, MN 56007-2530 | 2011-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710025 | Theresa M. Snell | Clinic/Center | 580 5th Ave Nw Ste 100, New Brighton, MN 55112-2836 | 2020-11-05 |
| 1376143248 | James M. Williams, D.d.s., P.a. | Clinic/Center | 620 Union St S, Mora, MN 55051-1818 | 2020-10-29 |
| 1235746058 | Asp Dental, PC | Clinic/Center | 17705 Hutchins Dr Ste 201, Minnetonka, MN 55345-4103 | 2020-09-25 |
| 1952918781 | Asp Dental, PC | Clinic/Center | 9800 Shelard Pkwy Ste 130, Plymouth, MN 55441-6451 | 2020-09-25 |
| 1518574532 | Stillwater Family Dental | Clinic/Center | 13481 60th St N Ste 100, Oak Park Heights, MN 55082-1089 | 2020-09-24 |
| 1093321531 | Barnett Dental Inc | Clinic/Center | 7962 Sunwood Dr Nw Ste 200, Ramsey, MN 55303-5172 | 2020-09-21 |
| 1356955868 | Todd A Brewer Dds Pllc | Clinic/Center | 603 Jefferson Ave Sw, Watertown, MN 55388 | 2020-09-02 |
| 1770195158 | Mark T. Sherman Dds Pa | Clinic/Center | 31011 Rasmussen Rd, Pequot Lakes, MN 56472-1227 | 2020-08-18 |
| 1689286015 | Lifelong Dental Care | Clinic/Center | 1525 Livingston Ave Ste B, West St Paul, MN 55118-3430 | 2020-08-18 |
| 1528678497 | Custom Smiles Dentistry, Pllc | Clinic/Center | 2258 Bunker Lake Blvd Nw, Andover, MN 55304-3900 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
| City | ALBERT LEA |
| Zip Code | 56007 |
Please comment or provide details below to improve the information on ALBERT LEA DENTAL CLINIC PA.
| 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.