ROCHESTER DENTAL PROFESSIONALS LLC (NPI# 1538767876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538767876 |
| Entity Type | Organization |
| Organization Name | ROCHESTER DENTAL PROFESSIONALS LLC |
| Practice Address |
723 2nd St Sw Rochester MN 55902-2921 |
| Practice Telephone | 5072813926 |
| Mailing Telephone | 5072813926 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Authorized Official Name | BRANDON KELLY (DENTIST) |
| Authorized Official Telephone | 5072813926 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Dental Doctors | Doing Business As Name - Organization |
| Street Address |
723 2ND ST SW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55902-2921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447488051 | Brandon John Kelly | Dentist | 723 2nd St Sw, Rochester, MN 55902-2986 | 2009-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264446 | Amber Nichelle Irby | Dental Therapist | 903 W Center St #130, Rochester, MN 55902 | 2020-08-05 |
| 1720584337 | John E Herman Home and Treatment Facility, LLC | Psychiatric Residential Treatment Facility | 351 14th Ave Sw, Rochester, MN 55902 | 2018-04-03 |
| 1912442898 | Esperanza Torres | Dental Hygienist | 903 West Center Street, Suite 130, United Way Bldg, Rochester, MN 55902 | 2016-12-30 |
| 1578971149 | Alduz Inri Surio Cabasa | Student in an Organized Health Care Education/Training Program | 609 1st Street Sw, Unit 102, Rochester, MN 55902 | 2014-07-28 |
| 1679901854 | Julie Erickson | Dental Hygienist | United Way Building Suite #208, Rochester, MN 55902 | 2013-10-24 |
| 1619313590 | Mercedes K Schulz | Dental Hygienist | 13394th Ave Sw, Rochester, MN 55902 | 2013-05-17 |
| 1093087389 | Sarah Jean Dennison | Clinic/Center | 930 West Center Street, Suite 208 United Way Bldg, Rochester, MN 55902 | 2012-02-01 |
| 1467732156 | Angela Elizabeth Peters | Registered Nurse | 1450 2nd Avenue Sw, Rochester, MN 55902 | 2011-08-25 |
| 1528350071 | Emily Zahasky Kraft | Pharmacist | 204 1st Street Sw, Rochester, MN 55902 | 2011-05-03 |
| 1093021982 | Sherry Dawn Boutcher | Dental Hygienist | 903 West Center Street Suite 208, United Way Building, Rochester, MN 55902 | 2010-08-30 |
| Find all providers in zip 55902 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306313150 | Jeffrey I Goldberg Dds Pllc | Clinic/Center | 1655 Elmwood Ave Ste 100, Rochester, NY 14620-3426 | 2018-10-30 |
| 1497294326 | Quarry Hill Family Dental, LLC | Clinic/Center | 828 11th Ave Ne, Rochester, MN 55906-4457 | 2017-02-12 |
| 1396199832 | Pdg, Pa | Clinic/Center | 3780 Marketplace Dr Nw Ste 112, Rochester, MN 55901-3225 | 2016-04-21 |
| 1598186645 | Southcoast Community Dental Care | Clinic/Center | 603 New Bedford Rd, Rochester, MA 02770-4125 | 2013-12-16 |
| 1093087389 | Sarah Jean Dennison | Clinic/Center | 930 West Center Street, Suite 208 United Way Bldg, Rochester, MN 55902 | 2012-02-01 |
| 1669649166 | East Avenue Dentistry Pllc | Clinic/Center | 1641 East Ave, Rochester, NY 14610-1616 | 2008-05-13 |
| 1942475330 | Minnesota State Colleges and Universities - Rochester Community & Tech | Clinic/Center | 851 30th Ave Se, Rochester, MN 55904-4915 | 2008-04-25 |
| 1730284787 | Groves & Kelley Dds PC | Clinic/Center | 50 Cedarfield Commons, Suite D, Rochester, NY 74612 | 2006-09-14 |
| 1609496504 | Regional Health Reach Inc. | Clinic/Center | 89 Genesee St Ste 1408, Rochester, NY 14611-3201 | 2020-04-21 |
| 1740814813 | Roxanne Lowenguth Dds,ms,pllc | Clinic/Center | 2109 S Clinton Ave Ste 200, Rochester, NY 14618-2615 | 2020-02-27 |
| Find all providers in ROCHESTER | ||||
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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.