Roger Mondale, Dds is a Dental Clinic in Plymouth, Minnesota. It is located at 10600 Old County Rd 15, Suite 120, Plymouth, MN and its contact number is 763-512-8500. The authorized person for Roger Mondale, Dds is Mr. Brian Patrick Mondale
who is Owner Sole Member of the clinic and their contact number is 763-512-8500. Roger Mondale, Dds Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Roger Mondale, Dds Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Roger Mondale, Dds
Specialization:
General Practice Dentistry
Clinic Address:
10600 Old County Rd 15, Suite 120, Plymouth, Minnesota, 55441-6205
Phone:
763-512-8500
Fax:
763-512-8592
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. Brian Patrick Mondale
Position:
Owner Sole Member
Contact Number:
763-512-8500
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 Roger Mondale, Dds clinic are as mentioned below.
NPI Number:
1053834481
NPI Enumeration Date:
18 Jul, 2017
NPI Last Update On:
30 Jul, 2024
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Roger Mondale, Dds are as mentioned below.
Specialization
License Number
State
Status
General Practice
Primary
Dental
Secondary
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
744487700
Medicaid
Minnesota
744487700MN
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:
Roger Mondale, Dds 10600 Old County Rd 15, Suite 120 Plymouth, Minnesota
Zip:
55441-6205
Phone Number:
763-512-8500
Fax Number:
763-512-8592
Patients can reach Roger Mondale, Dds at 10600 Old County Rd 15, Suite 120, Plymouth, Minnesota or can call to book an appointment on 763-512-8500. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.