Main Street Dental Clinic of Rochester PLLP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6159999 Issued in MN

Legal business name

MAIN STREET DENTAL CLINIC OF ROCHESTER PLLP

Practice address

3142 Wellner Dr NE
Rochester, MN 55906-8388

Phone

(507) 536-7700

Fax

(507) 536-7703

NPI assigned

Feb 13, 2006

Organization subpart

No

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

Authorized official

Name

John M Flor, DDS

Title

Chief Financial Officer

Phone

(507) 583-2141

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher John Stenzel, DDS

  • General Practice Dentistry
  • Rochester, MN
  • NPI 1134192719
  NPD (past)

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215901830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3142 WELLNER DR NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559068388",
            "telephone_number": "507-536-7700",
            "fax_number": "507-536-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 WELLNER DR NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559068388",
            "telephone_number": "507-536-7700",
            "fax_number": "507-536-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET DENTAL CLINIC OF ROCHESTER PLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLOR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "507-583-2141",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "6159999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A Mahr, M.D.
• Tara Maier
• Deborah R Maiers, CRNA
• Thomas A Maiers, CRNA
• Kaleigh Maijala
• Giuseppe Domenico Maiocco, MD
• Douglas D. Mair, M.D.
• Kristyn Anne Maixner, RN, CNP
• David S Majdalany, MD
• Elleana Joy Majdinasab, MD

• General Practice Dentistry in Rochester, MN
• Providers in Rochester, MN by specialty
• General Practice Dentistry 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.