ROSEMOUNT DENTAL
NPI 1619144540
Point of Service in Rosemount, MN

Active since May 09, 2008
14895 S ROBERT TRL, ROSEMOUNT, MN 55068(952) 423-2288(952) 423-2203 Get Directions Write a Review

NPPES record last updated: May 9, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rosemount Dental NPPES

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

ROSEMOUNT DENTAL (NPI 1619144540) is a healthcare organization registered as a point of service in Rosemount, Minnesota and active in the NPI registry since May 2008. The organization lists Douglas S. Wolff, Owner, as its authorized official.

NPPES Registry Identity

NPI1619144540
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameST. CROIX VALLEY DENTAL, PLLC
Location Address14895 S ROBERT TRLRosemount, MN 55068-3108
Mailing Address14895 S Robert TrlRosemount, MN 55068-3108 · (952) 423-2288 · Fax (952) 423-2203
Fax(952) 423-2203
Organization SubpartNo
Authorized OfficialDouglas S. WolffOwner · (651) 439-2600
Enumeration DateMay 9, 2008
NPI 1619144540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Licenses Licensed in MN · D11236 Licensed in MN · D11480
Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

14895 S ROBERT TRL, Rosemount, MN 55068

Other Names 1

Doing Business AsRosemount Dental

Other Identifiers 5

Other071695000WI · Mhcp
Other275435000MN · Mhcp
Other897945000MN · Mhcp
Other617665000MN · Minnesota Health Care Provider
Other38396800WI · Mhcp

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
14895 S ROBERT TRL
ROSEMOUNT, MN 55068

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619144540, enumerated as an "organization" on May 09, 2008.

The provider is located at 14895 S ROBERT TRL ROSEMOUNT, MN 55068 and the phone number is (952) 423-2288.

Point of Service with taxonomy code 305S00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.