ST. CROIX VALLEY DENTAL, PLLC (NPI# 1740259464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740259464 |
| Entity Type | Organization |
| Organization Name | ST. CROIX VALLEY DENTAL, PLLC |
| Other Organization Name | ST CROIX VALLEY DENTAL |
| Practice Address |
13961 60th St. North Stillwater MN 55082 |
| Practice Telephone | 6514392600 |
| Practice Fax Number | 6514392211 |
| Mailing Telephone | 6514392600 |
| Mailing Fax Number | 6514392211 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2012-02-22 |
| Authorized Official Name | DOUGLAS S WOLFF (OWNER) |
| Authorized Official Telephone | 6514392600 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 7898 | MN | Dental Providers |
| Y | 122300000X | Dentist | D11236 | MN | Dental Providers |
| Other Name | Type Code |
|---|---|
| St Croix Valley Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265618862 | St. Croix Valley Dental, Pllc | Point of Service | 1003 Pearson Dr., Hudson, WI 54016 | 2008-01-14 |
| 1619144540 | St. Croix Valley Dental, Pllc | Point of Service | 14895 S Robert Trl, Rosemount, MN 55068-3108 | 2008-05-09 |
| 1689842841 | St. Croix Valley Dental, Pllc | Dentist | 13961 60th St N, Stillwater, MN 55082-1053 | 2008-02-11 |
| Street Address |
13961 60TH ST. NORTH |
| City | STILLWATER |
| State | MN |
| Zip Code | 55082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1982238085 | Jerald Haley | Technician | 924 6th Ave. S., Stillwater, MN 55082 | 2020-02-27 |
| 1801457387 | Sun Trad Chin Acu Mn LLC | Acupuncturist | Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 | 2019-06-25 |
| 1598243990 | Carlson Distinctive Dentistry, Pllc | Dentist | 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 | 2018-07-30 |
| 1073001624 | Lindsay Beth Briggs | Chiropractor | 200 Chestnut St E, Ste 202, Stillwater, MN 55082 | 2018-04-30 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1184001919 | Grant Rohrig | Specialist/Technologist | 8727 Jeffrey Ave North, Stillwater, MN 55082 | 2015-04-30 |
| 1346688991 | Kellie Ann Seth | Chiropractor | 200 Chestnut St E Ste 202, Stillwater, MN 55082 | 2013-06-05 |
| 1770928426 | Rivertown Animal Hospital | Veterinarian | 135 New England Place, Stillwater, MN 55082 | 2013-05-08 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| Find all providers in zip 55082 | ||||
| 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 |
|---|---|---|---|---|
| 1174960876 | Lauren Huffaker | Dentist | 2200 N Perkins Rd, Stillwater, OK 74075-3076 | 2013-06-04 |
| 1104083740 | Robert L Moore Dds | Dentist | 1717 W 6th Ave, Stillwater, OK 74074 | 2008-05-21 |
| 1881730729 | John Walter Coffey | Dentist | 806 S Pine Street, Stillwater, OK 74074 | 2007-01-29 |
| 1922160332 | Daniel Theodore Johnson Jr. | Dentist | 5995 Oren Ave North, Suite 101, Stillwater, MN 55082-5302 | 2006-12-14 |
| 1306918545 | Michael John Junker | Dentist | 6143 Osgood Ave N, Stillwater, MN 55082-6188 | 2006-11-14 |
| 1063510188 | Lois F Duerst | Dentist | 1395 Curve Crest Blvd W, Stillwater, MN 55082-6069 | 2006-09-20 |
| 1043221153 | Polly Jo Courtney Logan | Dentist | 13961 60th St, St Croix Valley Dental, Stillwater, MN 55082 | 2006-08-11 |
| 1790795235 | Breynne Stacey Fordahl | Dentist | 14727 60th St. N, Stillwater, MN 55082 | 2006-08-08 |
| 1316988983 | James E Palmer | Dentist | 2121 W 6th Ave, Stillwater, OK 74074-4136 | 2006-06-08 |
| 1134196462 | Marc Rochus Roehrich | Dentist | 14727 60th St N, Stillwater, MN 55082-6323 | 2006-03-06 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 55082 |
Please comment or provide details below to improve the information on ST. CROIX VALLEY DENTAL, PLLC.
| 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.