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Dr. Breynne Stacey Fordahl, DDS
General Practice Dentistry in Stillwater, Minnesota
NPI 1790795235

Breynne Stacey Fordahl is a General Practice Dentistry based in Stillwater, MN and is specialized in General Practice. Breynne Stacey Fordahl practices in Stillwater, MN and has the professional credentials of DDS. The NPI Number for Breynne Stacey Fordahl is 1790795235 and holds a License No. 12259 (Minnesota).

The current practice location address for Breynne Stacey Fordahl is 14727 60Th St. N, Stillwater, MN and can be reached out via phone at 651-439-9060 and via fax at 651-379-9893.

Location: 14727 60Th St. N, Stillwater, MN, 55082
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790795235
Provider Name
Breynne Stacey Fordahl
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
14727 60Th St. N, Stillwater, MN, 55082
Phone Number
651-439-9060
Fax Number
651-379-9893
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
14727 60Th St. N
City
Stillwater
State
Minnesota
Zip
55082
Phone Number
651-439-9060
Fax Number
651-379-9893
person
Provider Business Mailing Address Details
Address
14727 60Th St. N
City
Stillwater
State
Minnesota
Zip
55082
Phone Number
651-439-9060
Fax Number
651-379-9893
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
D12259 (Minnesota)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12259 (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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