Individual provider · Type 1 NPI

Roger Alan Mondale, D.D S.

General Practice Dentistry · Plymouth, MN

NPI number 1023170248 Active

Practice location

10600 Old County Rd. 15, Suite 120
Plymouth, MN 55441

Call (763) 512-8500 Map

Fax (763) 512-8592

Mailing address

10600 Old County Rd 15, Suite 120
Plymouth, MN 55441

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD7579 (MN)

General Practice Dentistry: 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.

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About NPI 1023170248

Roger Alan Mondale, D.D S.'s National Provider Identifier is 1023170248, issued on Dec 14, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Plymouth, MN. The record was last updated on Dec 16, 2009.