Michelle Storlie, ADT

Primary specialty

Advanced Practice Dental TherapistTaxonomy code 125K00000X

License

DT25 Issued in MN

Practice address

1246 Gorman Ave
West Saint Paul, MN 55118-2406

Phone

(651) 457-6231

Fax

(651) 457-6231

NPI assigned

Nov 13, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• JV Dental

  dba Beyond Smiles DentaSpa

  • Dental Clinic/Center
  • West St Paul, MN
  • NPI 1841096898
  NPD
• Southern Heights Dental Group PA

  • General Practice Dentistry
  • Faribault, MN
  • NPI 1932247921
  NPD (past)

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1104256106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 GORMAN AVE",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551182406",
            "telephone_number": "651-457-6231",
            "fax_number": "651-457-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 GORMAN AVE",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551182406",
            "telephone_number": "651-457-6231",
            "fax_number": "651-457-6231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORLIE",
        "first_name": "MICHELLE",
        "credential": "ADT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "125K00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Dental Therapist",
            "state": "MN",
            "license": "DT25",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lubomir Bojidarov Serafimov, D.D.S.
• Amy Elizabeth Shea, RN, CNP
• Rihab Shoshan
• Annika Elizabeth Skogg, PHARMD
• Shannon Kay Stanton, PSYD, LP
• Matthew Gilbert Straley, M.D.
• Erika Jean Sullivan, L.A.C.
• Tung T Tuong, LMFT
• Twin Cities Anaplastology
• Mary Elizabeth Vanalstine, LPCC

• Advanced Practice Dental Therapist in West Saint Paul, MN
• Providers in West Saint Paul, MN by specialty
• Advanced Practice Dental Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.