DR. ROBERT DALE COLLINGE (NPI# 1669588984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669588984 |
| Entity Type | Individual |
| Full Name | DR. ROBERT DALE COLLINGE |
| Credential | DDS |
| Practice Address |
107 N Main St Edina MO 63537-1426 |
| Practice Telephone | 6603972213 |
| Practice Fax Number | 6603973929 |
| Mailing Telephone | 6603972213 |
| Mailing Fax Number | 6603973929 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
13458 | MO | Dental Providers |
| Street Address |
107 N MAIN ST |
| City | EDINA |
| State | MO |
| Zip Code | 63537-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538729363 | Lisa Michelle Bosch | Dentist | 107 N Main St, Edina, MO 63537-1426 | 2019-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093186579 | Hannah Katherine Dale | Physical Therapy Assistant | 55774, 6 State Hwy D, Edina, MO 63537 | 2015-10-09 |
| 1962840777 | Angela M Bronestine | Occupational Therapist | 55774 Mo-6, Edina, MO 63537 | 2013-06-13 |
| 1174643332 | Knox County Ambulance District | Ambulance | 610 East Lafayette Street, Rr3 Box 30a, Edina, MO 63537 | 2007-03-30 |
| 1811168107 | Nancy Alice Brandl | Licensed Practical Nurse | 106 4th Ave No, Fergus Falls, MN 63537-1034 | 2008-03-14 |
| 1871574210 | Knox County Health Department | Public Health or Welfare | 207 N 1st St, Edina, MO 63537-1127 | 2005-11-11 |
| 1417469537 | Knox County Health Department | Public Health or Welfare | 102 W Monticello St, Edina, MO 63537-1150 | 2017-10-30 |
| 1114276532 | Knox County Pharmacy LLC | Pharmacy | 105 E Reid St Ste C, Edina, MO 63537-1155 | 2012-08-30 |
| 1023094240 | Beth M Schrage | Nurse Practitioner | 100 E Jackson St, Edina, MO 63537-1335 | 2005-12-20 |
| 1881730893 | Northeast Missouri Health Council, Inc. | Family Medicine | 104 E Jackson St, Edina, MO 63537-1335 | 2007-01-29 |
| 1437423100 | Hrw, Inc. | Psychiatric Residential Treatment Facility | 300 N Main St, Edina, MO 63537-1353 | 2012-02-28 |
| Find all providers in zip 63537 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811490527 | Allison Forbes | Dentist | 6516 W Shore Dr, Edina, MN 55435-1527 | 2018-03-09 |
| 1760837041 | Family and Cosmetic Gentle Dentistry | Dentist | 5107 Gus Young Ln, Edina, MN 55436-1530 | 2016-04-25 |
| 1174884753 | Russell N. Frys Jr,, Dds Pa | Dentist | 7550 France Ave South, Suite 138, Edina, MN 55435-4761 | 2012-05-31 |
| 1730466996 | Gina Louise Smith Hughes | Dentist | 5101 Vernon Avenue South, Suite 1 B, Edina, MN 55436 | 2011-11-15 |
| 1154568293 | Dulac Dental Ltd | Dentist | 6550 York Ave S Ste 202, Edina, MN 55435-2333 | 2009-01-12 |
| 1558525204 | Geeta Ramesh Sukhani | Dentist | 7300 France Ave S #110, Edina, MN 55435 | 2008-07-11 |
| 1780845073 | Joseph James Varno | Dentist | 5112 Duggan Plz, Edina, MN 55439-1453 | 2008-06-19 |
| 1407979511 | Tara Kaur | Dentist | 7701 York Ave South, Suite #140, Edina, MN 55435 | 2007-04-06 |
| 1184748634 | Carl E Schneider | Dentist | 3925 W 44th St, Edina, MN 55424-1032 | 2007-03-19 |
| 1346300217 | Sandra Rae Nelson | Dentist | 6545 France Ave S Ste 390, Edina, MN 55435-2121 | 2006-12-11 |
| Find all providers in EDINA | ||||
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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.