DR. JEFFREY KEITH SOMROCK (NPI# 1497894646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497894646 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY KEITH SOMROCK |
| Credential | DDS |
| Practice Address |
22 E Calvary Rd Woodland Family Dental Clinic Pa Duluth MN 55803 |
| Practice Telephone | 2187248227 |
| Practice Fax Number | 2187247808 |
| Mailing Telephone | 2187248227 |
| Mailing Fax Number | 2187247808 |
| Enumeration Date | 2007-02-05 |
| 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 | D10390 | MN | Dental Providers |
| Street Address |
22 E CALVARY RD WOODLAND FAMILY DENTAL CLINIC PA |
| City | DULUTH |
| State | MN |
| Zip Code | 55803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144872615 | Rosslyn Jean Kendrick | Health Educator | 1926 Lakeview Dr, Duluth, MN 55803 | 2019-07-15 |
| 1255757191 | Chandra Rose Shoberg | Physical Therapy Assistant | 131 West Wabasha Street, Duluth, MN 55803 | 2014-03-17 |
| 1053642652 | Kate Elizabeth Matson | Social Worker | 5095 Fish Lake Road, Duluth, MN 55803 | 2010-01-21 |
| 1972740025 | Danie-marie Osterlund | Marriage & Family Therapist | 4321 Allendale Ave., Duluth, MN 55803 | 2009-01-12 |
| 1205020419 | Marjorie Lynn Gilbertson | Registered Nurse | 167 Farley Lane, Duluth, MN 55803 | 2007-08-30 |
| 1407949167 | The Hills Youth and Family Services | Clinic/Center | 4321 Allendale Avenue, Duluth, MN 55803 | 2006-10-02 |
| 1942567086 | Carl Peter Rasmussen | Family Medicine | 1400 Woodland Ave, Duluth, MN 55803 | 2012-04-13 |
| 1285011692 | Chandra J Fischer | Midwife | 3548 W Tischer Rd, Duluth, MN 55803-1124 | 2015-05-05 |
| 1518143999 | Claudia Virginia Weber | Psychologist | 4298 Charles Rd, Duluth, MN 55803-1270 | 2008-01-15 |
| 1871900712 | Rachel E Watson | Massage Therapist | 3947 E Calvary Rd, Ste 202, Duluth, MN 55803-1306 | 2014-07-11 |
| Find all providers in zip 55803 | ||||
| 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 |
|---|---|---|---|---|
| 1144835570 | Affordable Dentures & Implants of Georgia II, LLC | Dentist | 3675 Satellite Blvd Ste 700, Duluth, GA 30096-2309 | 2020-09-11 |
| 1417515339 | Kyle Olson-merrick | Dentist | 320 W Myrtle St, Ste 100, Duluth, MN 55811 | 2019-06-05 |
| 1477074466 | Kelly Ann Pohlman | Dentist | 3700 Crestwood Pkwy Nw Ste 180, Duluth, GA 30096-5583 | 2017-06-29 |
| 1487191649 | Sage Dental Group of Georgia, LLC | Dentist | 11160 Medlock Bridge Rd, Suite 120, Duluth, GA 30097-2590 | 2017-01-26 |
| 1730538661 | Gianna Paola Koker | Dentist | 4310 Menard Dr Ste 300, Duluth, MN 55811-1564 | 2016-06-10 |
| 1932560034 | Jasmine Ahn | Dentist | 7063 Belltoll Ct, Duluth, GA 30097-2507 | 2016-03-16 |
| 1518340009 | Go Eun Kim | Dentist | 2476 Pleasant Hill Rd Ste 201, Duluth, GA 30096-4300 | 2015-07-02 |
| 1912315730 | Jonathan Hu Chang | Dentist | 1630 Pleasant Hill Rd Ste 200, Duluth, GA 30096-5828 | 2014-07-24 |
| 1861836553 | Joanna I Bodea | Dentist | 5805 State Bridge Rd Ste L, Duluth, GA 30097-6427 | 2013-04-24 |
| 1154669406 | Thomas E Geoghegan | Dentist | 2785 Buford Hwy, Bldg. B, Suite 101, Duluth, GA 30096-2800 | 2013-01-22 |
| Find all providers in DULUTH | ||||
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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.