Roger Alan Mondale in Plymouth - General Practice
Roger Alan Mondale - NPI 1023170248
Roger Alan Mondale is a General Practice in Plymouth, Minnesota. Roger Alan Mondale practices all healthcare services and medical treatments related to General Practice. The NPI Number for Roger Alan Mondale is 1023170248. The last update date is 2009-12-16.
Roger Alan Mondale's current location address is 10600 Old County Rd 15, Plymouth, Minnesota. You can contact this provider via phone number 7635128500 and fax number 7635128592. The mailing address for Roger Alan Mondale is 10600 Old County Rd 15, Plymouth, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger Alan Mondale |
|---|---|
| Address | 10600 Old County Rd 15, Plymouth, Minnesota |
| Phone Number | 7635128500 |
| Fax Number | 7635128592 |
| Sole Proprietor | Y |
| Credentials | D.D S. |
NPI Number Detail
| NPI Number | 1023170248 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2009-12-16 |
Provider Mailing Address Detail
| Address | 10600 Old County Rd 15 |
|---|---|
| City | Plymouth |
| State | Minnesota (MN) |
| Post Code | 55441 |
| Phone Number | 7635128500 |
| Fax Number | 7635128592 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D7579 |
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Definition: 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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 970215600 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Roger Alan Mondale by the Centers for Medicare & Medicaid Services?
The Roger Alan Mondale has been assigned the NPI (National Provider Identifier) 1023170248 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Roger Alan Mondale is physically located?
The Roger Alan Mondale is physically situated at the following address: 10600 Old County Rd 15, Plymouth, MN, 55441.
What is the area of specialization for Roger Alan Mondale, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Roger Alan Mondale is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1023170248 to Roger Alan Mondale?
The Centers for Medicare & Medicaid Services assigned the 1023170248 to Roger Alan Mondale on 2006-12-14.
When was the information related to Roger Alan Mondale most recently updated or refreshed?
The details pertaining to the Roger Alan Mondale, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-12-16.