DR. KRISTINE CAROL ROSENTHAL (NPI# 1801959242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801959242 |
| Entity Type | Individual |
| Full Name | DR. KRISTINE CAROL ROSENTHAL |
| Other Name | DR. KRISTINE CAROL DACOSTA |
| Credential | DDS |
| Practice Address |
15785 95th Ave N Maple Grove MN 55369-4404 |
| Mailing Address |
10015 Pleasure Creek Cir Ne Blaine MN 55434-4233 |
| Practice Telephone | 7634205484 |
| Practice Fax Number | 7634205875 |
| Mailing Telephone | 7637840635 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D11551 | MN | Dental Providers |
| Street Address |
15785 95TH AVE N |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699764431 | Beth Ann Gavren | Dentist | 15785 95th Ave N, Maple Grove, MN 55369-4404 | 2005-10-14 |
| 1780010025 | Christopher Michael Rae | Dentist | 15785 95th Ave N, Maple Grove, MN 55369 | 2013-09-18 |
| 1992934418 | Katie Kickertz | Dentist | 15785 95th Ave N, Maple Grove, MN 55369-4404 | 2009-07-06 |
| 1043467293 | Northland Dental Partners Pllc | Dentist | 15785 95th Ave N, Maple Grove, MN 55369-4404 | 2008-08-19 |
| 1730390063 | Christina Marie Mccullough | Dentist | 15785 95th Ave N, Maple Grove, MN 55369-4404 | 2007-05-25 |
| 1528120557 | Noah Andrew Rounds | Dentist | 15785 95th Ave N, Maple Grove, MN 55369-4404 | 2006-12-15 |
| 1629137054 | Kelly Kristine Mehta | Dentist | 15785 95th Ave N, Maple Grove, MN 55369-4404 | 2006-12-08 |
| 1942369749 | Kyle Patrick Gearhart | Dentist | 15785 95th Ave N, Maple Grove, MN 55369-4404 | 2006-12-07 |
| 1023177011 | James Michael Healy | Dentist | 15785 95th Ave N, Maple Grove, MN 55369-4404 | 2006-12-06 |
| 1275649394 | Mitchell Lee Page | Dentist | 15785 95th Ave N, Maple Grove, MN 55369-4404 | 2006-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| 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 |
|---|---|---|---|---|
| 1942793989 | Lyle Arrian Corpuz Carlos | Dentist | 12737 Elm Creek Blvd N, Maple Grove, MN 55369-7045 | 2018-06-13 |
| 1346770500 | Hyeok Je Lee | Dentist | 6240 Quinwood Ln N # 100, Maple Grove, MN 55369-6384 | 2017-06-19 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1326481284 | Grove Dentist Pa | Dentist | 13649 Grove Dr, Maple Grove, MN 55311-4405 | 2013-04-10 |
| 1619259181 | Cedar Island Dental | Dentist | 7378 Kirkwood Ct N, Maple Grove, MN 55369-5270 | 2011-09-12 |
| 1417240243 | Jennifer Marie Bertrand | Dentist | 7270 Forestview Ln N Ste 250, Maple Grove, MN 55369-5605 | 2011-05-26 |
| 1740508704 | Partners In Dentistry Ltd | Dentist | 17143 73rd Pl N, Maple Grove, MN 55311-2686 | 2010-05-13 |
| 1639337710 | Blue Ridge Dental Center Pa | Dentist | 13800 83rd Way N Ste 100, Maple Grove, MN 55369-7016 | 2008-05-27 |
| 1699977058 | Jodi Marie Burth | Dentist | 11256 86th Ave N, Maple Grove, MN 55369 | 2007-06-05 |
| 1124230800 | Matthew P Dale Dds Pa | Dentist | 13998 Maple Knoll Way # Ll103, Maple Grove, MN 55369-7004 | 2007-05-04 |
| Find all providers in MAPLE GROVE | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
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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.