BRIDGET LOUISE FENSHOLT (NPI# 1922170828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922170828 |
| Entity Type | Individual |
| Full Name | BRIDGET LOUISE FENSHOLT |
| Credential | DDS |
| Practice Address |
107 7th Ave South South St Paul MN 55075 |
| Practice Telephone | 6514511894 |
| Practice Fax Number | 6514511894 |
| Mailing Telephone | 6514511894 |
| Mailing Fax Number | 6514511894 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 9240 | MN | Dental Providers |
| Street Address |
107 7TH AVE SOUTH |
| City | SOUTH ST PAUL |
| State | MN |
| Zip Code | 55075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841510567 | Amber Martina Lindeman | Psychologist | 2245 Jewel Ln, South St Paul, MN 55075 | 2010-06-03 |
| 1114242690 | James G Derifield | Pharmacist | 102 5th Ave. No, So.st.paul, MN 55075 | 2010-03-29 |
| 1952546160 | Modern Dental Professionals, Minnesota PC | Dentist | 680 Southview Blvd., South Saint Paul, MN 55075 | 2008-12-03 |
| 1528272887 | Michael John Prueher | Dentist | Dental South P A, 800 Marie Avenue, South St Paul, MN 55075 | 2007-05-09 |
| 1093851651 | Keith Frank Ostrosky | Dentist | 351 15th Ave N, South St. Paul, MN 55075 | 2007-01-30 |
| 1548314792 | Health 1st Chiropractic and Wellness Center, P.C. | Chiropractor | 1020 Marie Avenue, South St. Paul, MN 55075 | 2007-01-23 |
| 1558431890 | Dental South Pa | Dentist | 800 Marie Avenue, South St Paul, MN 55075 | 2006-11-08 |
| 1336494418 | Deaf Can Inc. | In Home Supportive Care | 408 Bircher Ave, South St Paul, MN 55075-1007 | 2012-07-16 |
| 1144217159 | Merrill Edward Zieman | Psychologist | 201 Concord Exchange N, South St Paul, MN 55075-1104 | 2005-10-04 |
| 1538157847 | Owakihi Inc | Intermediate Care Facility, Mentally Retarded | 201 Concord Exchange N, South Saint Paul, MN 55075-1104 | 2005-10-11 |
| Find all providers in zip 55075 | ||||
| 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 |
|---|---|---|---|---|
| 1528272887 | Michael John Prueher | Dentist | Dental South P A, 800 Marie Avenue, South St Paul, MN 55075 | 2007-05-09 |
| 1558431890 | Dental South Pa | Dentist | 800 Marie Avenue, South St Paul, MN 55075 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788498 | Modern Dental Professionals | Dentist | 676 County Road 10 Ne, Blaine, MN 55434-2329 | 2020-10-22 |
| 1588261812 | New London Family Dental | Dentist | 15 Ash St Se, New London, MN 56273 | 2020-10-09 |
| 1164036422 | Lolita Hicks | Dentist | 1290 Salem Rd Sw Ste 10, Rochester, MN 55902-4210 | 2020-09-03 |
| 1326650961 | Mcgann Family Dental | Dentist | 8981 33rd St N, Lake Elmo, MN 55042-9209 | 2020-08-17 |
| 1154931988 | Jordan Jeffrey Bolger | Dentist | 13899 Highway 15 S Frontage Rd, Savage, MN 55378-5537 | 2020-08-06 |
| 1285243733 | Grant R. Sorensen, Dds | Dentist | 1029 3rd Ave Ste 1, Worthington, MN 56187-2399 | 2020-07-29 |
| 1851909436 | Matthew Rohlf | Dentist | 5378 E Viking Blvd, Wyoming, MN 55092 | 2020-07-20 |
| 1205444106 | Sidra Zahooruddin | Dentist | 107 Dupont Ave, Nw, Renville, MN 56284 | 2020-07-16 |
| 1104434380 | Jongseuk Lim | Dentist | 1119 W Frontage Rd, Owatonna, MN 55060-5663 | 2020-07-14 |
| 1699393942 | Danika Elizabeth Jackson | Dentist | 237 Radio Dr Ste 110, Woodbury, MN 55125-4478 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH ST PAUL |
| Zip Code | 55075 |
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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.