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Dr. Roger Alan Mondale, DDS
General Practice Dentistry in Plymouth, Minnesota
NPI 1023170248

Roger Alan Mondale is a General Practice Dentistry based in Plymouth, MN and is specialized in General Practice. Roger Alan Mondale practices in Plymouth, MN and has the professional credentials of DDS. The NPI Number for Roger Alan Mondale is 1023170248 and holds a License No. D7579 (Minnesota).

The current practice location address for Roger Alan Mondale is 10600 Old County Rd. 15, Plymouth, MN and can be reached out via phone at 763-512-8500 and via fax at 763-512-8592.

Location: 10600 Old County Rd. 15, Plymouth, MN, 55441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023170248
Provider Name
Roger Alan Mondale
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
10600 Old County Rd. 15, Plymouth, MN, 55441
Phone Number
763-512-8500
Fax Number
763-512-8592
Provider Enumeration Date
12/14/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
970215600 05 MN
institution
Provider Business Practice Location Address Details
Address
10600 Old County Rd. 15
City
Plymouth
State
Minnesota
Zip
55441
Phone Number
763-512-8500
Fax Number
763-512-8592
person
Provider Business Mailing Address Details
Address
10600 Old County Rd. 15
City
Plymouth
State
Minnesota
Zip
55441
Phone Number
763-512-8500
Fax Number
763-512-8592
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D7579 (Minnesota)
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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