WOODLAND DENTAL LLC (NPI# 1861861619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861861619 |
| Entity Type | Organization |
| Organization Name | WOODLAND DENTAL LLC |
| Practice Address |
510 1st St Princeton MN 55371-1604 |
| Practice Telephone | 7633891373 |
| Mailing Telephone | 7633891373 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |
| Authorized Official Name | DIANA ROSS SNELGROVE (OFFICE MANAGER) |
| Authorized Official Telephone | 2186314431 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 11459 | MN | Dental Providers |
| Street Address |
510 1ST ST |
| City | PRINCETON |
| State | MN |
| Zip Code | 55371-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477724409 | Philip J. Lingle | Dentist | 510 1st St, Princeton, MN 55371-1604 | 2008-03-18 |
| 1598202319 | White Birch Dental, Pllc | Dentist | 510 1st St, Princeton, MN 55371-1604 | 2017-01-31 |
| 1457791071 | Heidi Anne Lund | Dentist | 510 1st St, Princeton, MN 55371-1604 | 2013-06-27 |
| 1033559950 | Alex Lund | Dentist | 510 1st St, Princeton, MN 55371-1604 | 2013-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053962530 | Monica Gail Broten | Technician | 30840 Tiger Street Nw, Princeton, MN 55371 | 2019-09-25 |
| 1215349584 | Stephen Destefano | Pharmacist | 31419 131st Street, Princeton, MN 55371 | 2014-05-21 |
| 1164798948 | Andrew Sudbeck | Counselor | 101 18th Avenue North, Princeton, MN 55371 | 2012-03-27 |
| 1073804803 | Sterling Pointe Senior Living LLC | Assisted Living Facility | 1250 Northland Drive, Princeton, MN 55371 | 2011-04-27 |
| 1568752533 | Rum River Health Services, Inc. | Substance Abuse Rehabilitation Facility | 3079 90th Avenue, Princeton, MN 55371 | 2011-04-12 |
| 1780989038 | Dr. Kynan Westermeyer, Dds, Pllc | Clinic/Center | 404 1st St. N, Princeton, MN 55371 | 2011-01-18 |
| 1275788085 | Cody James Leff | Pharmacist | 1100 11th Avenue South, Princeton, MN 55371 | 2008-11-20 |
| 1164679213 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1101 N 5th St, Princeton, MN 55371 | 2008-08-20 |
| 1801059639 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1506 1st Street, Princeton, MN 55371 | 2008-07-02 |
| 1497940928 | James Michael Mandt | Pharmacist | 911 Northland Drive, Fairview Northland Medical Center, Princeton, MN 55371 | 2007-09-07 |
| Find all providers in zip 55371 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104359967 | Amar Dental Associates LLC | Dentist | 870 Mapleton Rd, Princeton, NJ 08540-9538 | 2017-04-09 |
| 1548700669 | Matthew Raymond Montenero | Dentist | 301 N Harrison St Ste F, Princeton, NJ 08540 | 2017-03-08 |
| 1518383900 | Jacqueline Milone | Dentist | 601 Ewing St Ste B4, Princeton, NJ 08540-2755 | 2014-03-10 |
| 1992128979 | Rui Sergio Seu Dds PC | Dentist | 33 Caroline Dr, Princeton, NJ 08540 | 2014-01-28 |
| 1164865002 | Prime Dental Care LLC | Dentist | 417 Wall St, Princeton, NJ 08540-1504 | 2013-04-10 |
| 1265731020 | Nesrine Bestandji | Dentist | 100 Canal Pointe Blvd Ste 116, Princeton, NJ 08540-7123 | 2011-03-19 |
| 1821254111 | Reena Goyal | Dentist | 28 Caleb Ln, Princeton, NJ 08540-6136 | 2008-08-06 |
| 1053588616 | Charles H Mann | Dentist | 801 Stafford Dr, Princeton, WV 24740 | 2008-05-13 |
| 1700084118 | Ashley Marie Pagana | Dentist | 29 Emmons Dr Ste C80, Princeton, NJ 08540-5983 | 2007-07-06 |
| 1700097631 | T.l.conklin, Dds, Inc. | Dentist | 201 Locust Street, Princeton, WV 24740 | 2007-05-24 |
| Find all providers in PRINCETON | ||||
Please comment or provide details below to improve the information on WOODLAND DENTAL LLC.
| 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.