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ROSEVILLE DENTISTRY
NPI 1417191602
Dentist - General Practice in Roseville, MN

Active since May 01, 2009
1912 LEXINGTON AVE N, SUITE 200, ROSEVILLE, MN 55113(651) 631-3610(651) 631-1626 Get Directions Write a Review

NPPES record last updated: May 1, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roseville Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSEVILLE DENTISTRY (NPI 1417191602) is a healthcare organization registered as a general practice in Roseville, Minnesota and active in the NPI registry since May 2009. The organization lists Heidi Jo Dulin, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1417191602
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameROSEVILLE DENTISTRY
Location Address1912 LEXINGTON AVE N, SUITE 200Roseville, MN 55113-6113
Mailing Address1912 Lexington Ave. N., Suite 200Roseville, MN 55113 · (651) 631-3610 · Fax (651) 631-1626
Phone(651) 631-3610
Fax(651) 631-1626
Organization SubpartNo
Authorized OfficialHeidi Jo DulinOffice Manager · (651) 631-3610
Enumeration DateMay 1, 2009
✔ NPI 1417191602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1912 LEXINGTON AVE N, Roseville, MN 55113
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BANDANA CHIROPRACTIC & WELLNESS CENTER PA
Chiropractor
1912 LEXINGTON AVE N, SUITE 250
ROSEVILLE, MN 55113
Ramsey County (651) 646-2050
LAWRENCE H KENT DDS
Dentist (Oral and Maxillofacial Surgery)
1912 LEXINGTON AVE N
ROSEVILLE, MN 55113
Ramsey County (651) 636-2420
ROSEVILLE DENTISTRY
Dentist
1912 LEXINGTON AVE N, SUITE 100
ROSEVILLE, MN 55113
Ramsey County (651) 489-1900
DR. TAMARA LYNN SIMONS DDS
Dentist
1912 LEXINGTON AVE N, SUITE 100
ROSEVILLE, MN 55113
Ramsey County (651) 489-1900
BANDANA CHIROPRACTIC AND WELLNESS CENTER PA
Chiropractor
1912 LEXINGTON AVE N, SUITE 250
ROSEVILLE, MN 55113
Ramsey County (651) 646-2050
DR. KARL HAAKON ANDREASEN D.D.S.
Dentist (Oral and Maxillofacial Pathology)
1912 LEXINGTON AVE N, SUITE 150
ROSEVILLE, MN 55113
Ramsey County (651) 636-2420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roseville Dentistry's NPI number?

The NPI number for Roseville Dentistry is 1417191602. It was assigned to this organization in the NPPES registry on May 1, 2009.

Where is Roseville Dentistry located?

Roseville Dentistry is located at 1912 Lexington Ave N Suite 200, Roseville, MN 55113. The listed phone number is (651) 631-3610.

What is Roseville Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Roseville Dentistry was last updated on May 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.