RUSSELL ROMAN SIEBEN (NPI# 1922173376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922173376 |
| Entity Type | Individual |
| Full Name | RUSSELL ROMAN SIEBEN |
| Credential | DDS |
| Practice Address |
615 West Main Street Melrose MN 56352 |
| Practice Telephone | 3202564267 |
| Practice Fax Number | 3202564167 |
| Mailing Telephone | 3202564267 |
| Mailing Fax Number | 3202564167 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 7354 | MN | Dental Providers |
| Street Address |
615 WEST MAIN STREET |
| City | MELROSE |
| State | MN |
| Zip Code | 56352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508931965 | Ernest Allen Hedglin | Dentist | 615 West Main Street, Melrose, MN 56352 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922231943 | Heartland Security Services, LLC | Emergency Response System Companies | 218 North 8th Avenue West, Suite 2, Melrose, MN 56352 | 2009-08-25 |
| 1376688234 | City of Melrose | Ambulance | 225 East First Street North, Melrose, MN 56352 | 2007-02-20 |
| 1083698286 | James A Mohs | Family Medicine | 525 W Main, Centracare Clinic, Melrose, MN 56352 | 2005-12-01 |
| 1629070230 | Centracare Clinic Melrose | Durable Medical Equipment & Medical Supplies | 525 W Main St, Melrose, MN 56352 | 2005-08-12 |
| 1033413588 | Sarah Jane Zimmer | Nurse Anesthetist, Certified Registered | 525 W Main, Centracare Health System-melrose, Melrose, MN 56352 | 2010-12-26 |
| 1770564833 | Dante Carl Beretta | Family Medicine | 525 Main St W, Centracare Health System - Melrose, Melrose, MN 56352-1043 | 2005-11-07 |
| 1306456256 | Jill Marie Wilcken | Nurse Practitioner | 525 Main St W, Melrose, MN 56352-1043 | 2020-08-05 |
| 1952955320 | Joshua Larson | Nurse Practitioner | 525 Main St W, Melrose, MN 56352-1043 | 2019-07-24 |
| 1346727211 | Jennifer Rose Tomford | Nurse Practitioner | 525 Main St W, Melrose, MN 56352-1043 | 2018-07-24 |
| 1720565617 | Elaine Mary Thelen | Nurse Practitioner | 525 Main St W, Melrose, MN 56352-1043 | 2018-07-24 |
| Find all providers in zip 56352 | ||||
| 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 |
|---|---|---|---|---|
| 1316562341 | Jonathan Reza Alihosseini | Dentist | 820 Lynn Fells Pkwy, Melrose, MA 02176-2506 | 2020-06-16 |
| 1346434495 | Kyle R Findly | Dentist | 1 Nelson Ter, Melrose, MA 02176-3192 | 2007-08-31 |
| 1598987786 | Jeffrey C Smith | Dentist | 100 S R 26, Melrose, FL 32666 | 2007-05-03 |
| 1134345945 | Nicholas Thomas Ciancarelli | Dentist | 10 East Emerson St., Melrose, MA 02176-3521 | 2007-04-18 |
| 1598884470 | Joseph John Scola | Dentist | 486 Main St # A, Melrose, MA 02176-3841 | 2007-03-29 |
| 1811012776 | Mark Joseph Gianatassio | Dentist | 820 Lynn Fells, Melrose, MA 02176 | 2007-03-20 |
| 1558437400 | Robert V Difranco | Dentist | 944 Main St, Melrose, MA 02176 | 2006-11-24 |
| 1942751953 | Melrose Family Dental PC | Dentist | 12 Porter St, Melrose, MA 02176-2810 | 2016-10-14 |
| 1477935088 | Matthew P Ford | Dentist | 203 E Main St, Melrose, MN 56352-4524 | 2015-06-19 |
| 1770924912 | Anca Aurelia Andronesi | Dentist | 80 W Foster St, Melrose, MA 02176-3811 | 2013-07-16 |
| Find all providers in MELROSE | ||||
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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.