DANIEL L. MENGEDOTH, DDS LTD (NPI# 1942219852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942219852 |
| Entity Type | Organization |
| Organization Name | DANIEL L. MENGEDOTH, DDS LTD |
| Practice Address |
2121 Highway 10 E Moorhead MN 56560-2559 |
| Practice Telephone | 2182367076 |
| Practice Fax Number | 2182364999 |
| Mailing Telephone | 2182367076 |
| Mailing Fax Number | 2182364999 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2013-12-03 |
| Authorized Official Name | DR. DANIEL L MENGEDOTH (CEO) |
| Authorized Official Telephone | 2182367076 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D11185 | MN | Dental Providers |
| Street Address |
2121 HIGHWAY 10 E |
| City | MOORHEAD |
| State | MN |
| Zip Code | 56560-2559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730156928 | Tom G. Anderson | Dentist | 2121 Highway 10 E, Moorhead, MN 56560-2559 | 2006-03-07 |
| 1710407267 | Northland Dental, Ltd. | Dentist | 2121 Highway 10 E, Moorhead, MN 56560-2559 | 2017-06-26 |
| 1972873156 | Northland Dental Ltd. | Clinic/Center | 2121 Highway 10 E, Moorhead, MN 56560-2559 | 2012-01-05 |
| 1992908255 | Andrew Steven Atchison | Dentist | 2121 Highway 10 E, Moorhead, MN 56560-2559 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298859 | Anna Mckay Fox | Pharmacist | 4000 28th Avenue S, Moorhead, MN 56560 | 2019-08-01 |
| 1972019727 | Michael Wayne Hilliard | Specialist/Technologist | 649 17th St S, Moorhead, MN 56560 | 2017-12-15 |
| 1508217183 | Kristen Johnson | Nurse Practitioner | 801 Belsly Boulevard, Moorhead, MN 56560 | 2016-06-25 |
| 1861877052 | Midwest Mental Health Clinic | Nurse Practitioner | 819 30th Ave S Office 206 Suite B, Moorhead, MN 56560 | 2015-07-29 |
| 1083037709 | Drake Counseling Services, Inc. | Clinic/Center | 715 11th Street North, Suite 204, Moorhead, MN 56560 | 2014-01-31 |
| 1710310917 | Lamar Terrell Hill | Social Worker | 420 Center Ave Ste 102, Moorhead, MN 56560 | 2013-08-12 |
| 1982956140 | Lilac Homes Corporation | Assisted Living Facility | 2615 Parkview Dr, Moorhead, MN 56560 | 2012-10-11 |
| 1487918462 | Paige Joy Hanson | Massage Therapist | 805 14th St. So., Msum Wellness Center, Moorhead, MN 56560 | 2012-06-25 |
| 1972809408 | Cslm, LLC | Assisted Living Facility | 2401 South 11th Street, Moorhead, MN 56560 | 2011-02-01 |
| 1972814846 | Paul Michael Fluto | Pharmacist | 3000 Hwy 10 East, Mooehead, MN 56560 | 2010-06-25 |
| Find all providers in zip 56560 | ||||
| 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 |
|---|---|---|---|---|
| 1003028895 | David P. Rostad, Ltd. | Dentist | 211 S 5th St, Moorhead, MN 56560 | 2007-05-04 |
| 1194841916 | David Calvin Wentz | Dentist | 320 2nd Ave S, Suite 106, Moorhead, MN 56560-2602 | 2007-03-22 |
| 1275609067 | David K Tranby | Dentist | 2704 12th St S, Moorhead, MN 56560-4621 | 2006-11-26 |
| 1497843221 | David P Rostad | Dentist | 211 5th St S, #2, Moorhead, MN 56560-2714 | 2006-10-10 |
| 1811094014 | Skatvold Family Dentistry P.C. | Dentist | 1401 8th St S, Moorhead, MN 56560-3605 | 2006-09-20 |
| 1679531719 | Wayne Earl Christianson | Dentist | 1616 30th Ave S, Moorhead, MN 56560-5152 | 2006-05-01 |
| 1730156928 | Tom G. Anderson | Dentist | 2121 Highway 10 E, Moorhead, MN 56560-2559 | 2006-03-07 |
| 1710407267 | Northland Dental, Ltd. | Dentist | 2121 Highway 10 E, Moorhead, MN 56560-2559 | 2017-06-26 |
| 1174906911 | Jessica L. Hardy, Dds, Pa | Dentist | 320 2nd Ave S, Ste 106, Moorhead, MN 56560-2602 | 2015-06-29 |
| 1992908255 | Andrew Steven Atchison | Dentist | 2121 Highway 10 E, Moorhead, MN 56560-2559 | 2007-06-06 |
| Find all providers in MOORHEAD | ||||
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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.