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DR. SARAH ROSE LATTERELL D.D.S.
NPI 1497982318
Dentist in Blaine, MN

Active since June 18, 2009Opted out of Medicare · through Aug 17, 2028
10945 ULYSSES ST NE, BLAINE, MN 55434(763) 784-1993(763) 784-1575 Get Directions Write a Review

NPPES record last updated: June 18, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Sarah Rose Latterell D.d.s. NPPES

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

DR. SARAH ROSE LATTERELL D.D.S. (NPI 1497982318) is an individual dentist in Blaine, Minnesota, licensed in Minnesota (D12679) and active in the NPI registry since June 2009. She has opted out of Medicare through August 17, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1497982318
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. SARAH ROSE LATTERELLCredential: D.D.S.
Location Address10945 ULYSSES ST NEBlaine, MN 55434-4185
Mailing Address10945 Ulysses Street NeBlaine, MN 55434 · (763) 784-1993 · Fax (763) 784-1575
Phone(763) 784-1993
Fax(763) 784-1575
Sole ProprietorYes
Enumeration DateJune 18, 2009
✔ NPI 1497982318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D12679
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.
10945 ULYSSES ST NE, Blaine, MN 55434
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Other Names 1

Former Name (1)Sarah Rose Doheny

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Sarah Rose Latterell D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 17, 2016 through August 17, 2028.

Opt-Out Effective DateAugust 17, 2016
Opt-Out In Effect ThroughAugust 17, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55434 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

LING FAMILY DENTISTRY
Dentist (General Practice)
10945 ULYSSES ST NE
BLAINE, MN 55434
Anoka County (763) 784-1993
DR. CAROL ELLENS DDS
Dentist
10945 ULYSSES ST NE
BLAINE, MN 55434
Anoka County (763) 784-1993

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 Sarah Latterell's NPI number?

The NPI number for Sarah Latterell is 1497982318. It was assigned to this individual provider in the NPPES registry on June 18, 2009. The provider is also known as Sarah Rose Doheny.

Where is Sarah Latterell located?

Sarah Latterell practices at 10945 Ulysses St NE, Blaine, MN 55434. The listed phone number is (763) 784-1993.

What is Sarah Latterell's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Sarah Latterell enrolled in Medicare?

No. Sarah Latterell has opted out of Medicare through August 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sarah Latterell was last updated on June 18, 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.