Sandstone Dental Office

Primary specialty

DentistTaxonomy code 122300000X

License

8046 Issued in MN

Legal business name

SANDSTONE DENTAL OFFICE

Practice address

501 N Commercial Ave
Sandstone, MN 55072-0589

Phone

(320) 245-2208

Fax

(320) 245-2208

NPI assigned

Aug 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Maurice Bennett, DDSNPI 1942364245

Title

Owner Dentist

Phone

(320) 245-2208

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Maurice Bennett, DDS

  • General Practice Dentistry
  • Sandstone, MN
  • NPI 1942364245
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053427237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N COMMERCIAL AVE",
            "address_2": "PO BOX 589",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "550720589",
            "telephone_number": "320-245-2208",
            "fax_number": "320-245-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N COMMERCIAL AVE",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "550720589",
            "telephone_number": "320-245-2208",
            "fax_number": "320-245-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDSTONE DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "320-245-2208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "8046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Frances Ribich, OTR/L
• Eric John Ringsred
• Cynthia Anne Roden, RD, LD
• Mary Carole Rohde, DPT
• Michael Sandell
• Jeffrey Lee Schneider
• Brooke Schwasinger
• Selah Wellness Center LLC
• Selah Wellness Clinic LLC
• Zane Charles Sundberg, DPT

• Dentist in Sandstone, MN
• Providers in Sandstone, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.