RODNEY A STENSRUD (NPI# 1508925637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508925637 |
| Entity Type | Individual |
| Full Name | RODNEY A STENSRUD |
| Credential | DDS |
| Practice Address |
956 West Broadway Lakes Dental Clinic Forest Lake MN 55025 |
| Mailing Address |
Po Box 278 Lakes Dental Clinic Forest Lake MN 55025 |
| Practice Telephone | 6514647277 |
| Practice Fax Number | 6514646857 |
| Enumeration Date | 2006-12-06 |
| 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 | 8907 | MN | Dental Providers |
| Street Address |
956 WEST BROADWAY LAKES DENTAL CLINIC |
| City | FOREST LAKE |
| State | MN |
| Zip Code | 55025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073672101 | Catharine B Ruther | Dentist | 956 West Broadway, Lakes Dental Clinic, Forest Lake, MN 55025 | 2006-12-06 |
| 1144389289 | Michael J Goodoien | Dentist | 956 West Broadway, Lakes Dental Clinic, Forest Lake, MN 55025 | 2006-12-06 |
| 1255490389 | Lakes Dental Assoc Pa | Dentist | 956 West Broadway, Forest Lake, MN 55025 | 2006-12-06 |
| 1003975137 | Daniel F Pink | Dentist | 956 West Broadway, Lakes Dental Clinic, Forest Lake, MN 55025 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043846173 | Persistence Physical Therapy LLC | Clinic/Center | 2009 W Broadway Ave, Ste 400 Pmb 131, Forest Lake, MN 55025 | 2020-03-20 |
| 1255973319 | Connie Rettig | Technician | 908 North Shore Drive, Forest Lake, MN 55025 | 2019-10-10 |
| 1003394479 | Malissa Ann Costanzo | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 844 8th Ave Se, Forest Lake, MN 55025 | 2018-07-30 |
| 1669754735 | Brent Alan Millard | Pharmacist | 1207 West Broadway Ave, Forest Lake, MN 55025 | 2011-09-15 |
| 1982842167 | Lakes Center for Youth and Families | Community/Behavioral Health | 20 N Lake Street, Suite 103, Forest Lake, MN 55025 | 2009-01-27 |
| 1487843355 | Paul Luke Mladnick | Marriage & Family Therapist | 1068 So Lake St, #109, Forest Lake, MN 55025 | 2007-10-17 |
| 1740477678 | Rita Lynn Scanlan | Occupational Therapist | 604 Ne 1st St, Birchwood Health Care Center, Forest Lake, MN 55025 | 2007-09-25 |
| 1114053113 | Senior Care Forest Lake, LLC | Skilled Nursing Facility | 604 N.e. First Street, Forest Lake, MN 55025 | 2007-02-26 |
| 1407914849 | Ervin George Savord | Dentist | 255 Highway 97, Suite 1b, Forest Lake, MN 55025 | 2006-12-05 |
| 1609945286 | Elizabeth Anne Mcinerney | Social Worker | 882 Sw 15th Avenue, Forest Lake, MN 55025 | 2006-11-07 |
| Find all providers in zip 55025 | ||||
| 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 |
|---|---|---|---|---|
| 1073672101 | Catharine B Ruther | Dentist | 956 West Broadway, Lakes Dental Clinic, Forest Lake, MN 55025 | 2006-12-06 |
| 1407914849 | Ervin George Savord | Dentist | 255 Highway 97, Suite 1b, Forest Lake, MN 55025 | 2006-12-05 |
| 1285732511 | Leo Carl Sinna | Dentist | 1068 South Lake Street, #205, Forest Lake, MN 55025 | 2006-09-20 |
| 1548363195 | Steven Paul Bakke | Dentist | 69 North Lake St Ste 100, Forest Lake, MN 55025 | 2006-09-07 |
| 1801905161 | G Rankin Patet | Dentist | 1068 S Lake Street, #209, Forest Lake, MN 55025 | 2006-08-30 |
| 1477170629 | Jessica Tien Thuy Nguyen | Dentist | 107 12th St Sw Ste 2, Forest Lake, MN 55025-1467 | 2020-07-02 |
| 1225695893 | Kateryna Nechay | Dentist | 107 12th St Sw Ste 2, Forest Lake, MN 55025-1467 | 2019-05-20 |
| 1619469236 | Stephen Kyle Williams | Dentist | 1068 Lake St S Ste 209, Forest Lake, MN 55025-2634 | 2018-05-30 |
| 1144389289 | Michael J Goodoien | Dentist | 956 West Broadway, Lakes Dental Clinic, Forest Lake, MN 55025 | 2006-12-06 |
| 1255490389 | Lakes Dental Assoc Pa | Dentist | 956 West Broadway, Forest Lake, MN 55025 | 2006-12-06 |
| Find all providers in FOREST LAKE | ||||
| City | FOREST LAKE |
| Zip Code | 55025 |
Please comment or provide details below to improve the information on RODNEY A STENSRUD.
| 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.