Health Source Dental Clinic is a Dental Public Health Clinic in Cambridge, Minnesota. It is located at 1425 State St, Cambridge, MN and its contact number is 763-689-7306. The authorized person for Health Source Dental Clinic is Mr. Rod L. Kornrumpf
who is Adult Mental Health Administrator of the clinic and their contact number is 651-431-5003.
Health Source Dental Clinic Clinic deals with the science and art of dentistry for preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on community basis.
Complete Clinic Profile:
Health Source Dental Clinic Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Health Source Dental Clinic |
| Specialization: | Dental Public Health |
| Clinic Address: | 1425 State St, Cambridge, Minnesota, 55008-5033 |
| Phone: | 763-689-7306 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Rod L. Kornrumpf |
| Position: | Adult Mental Health Administrator |
| Contact Number: | 651-431-5003 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Health Source Dental Clinic clinic are as mentioned below.
| NPI Number: | 1508962994 |
| NPI Enumeration Date: | 15 Sep, 2006 |
| NPI Last Update On: | 27 Feb, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Health Source Dental Clinic are as mentioned below.
| Specialization | License Number | State | Status | |
| Dental Public Health | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 366053200 | Medicaid | Minnesota | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Health Source Dental Clinic Po Box 64979, Saint Paul, Minnesota |
| Zip: | 55164-0979 |
| Phone Number: | -- |
Patients can reach Health Source Dental Clinic at
1425 State St, Cambridge, Minnesota or can
call to book an appointment on 763-689-7306.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.