Dental Health Services Minnewaska PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL HEALTH SERVICES MINNEWASKA PLLC

Practice address

1616 N Franklin STR
Glenwood, MN 56334

Phone

(320) 634-3556

Fax

(320) 634-3567

NPI assigned

May 1, 2007

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

Mr. Scott William Ringdahl, DDSNPI 1144380627

Title

Owner W Dr Jeremy Myrom

Phone

(320) 634-3556

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Scott William Ringdahl, DR DENTIST

  • Dentist
  • Glenwood, MN
  • NPI 1144380627
  NPD (past) Authorized official
• Jeremy Myrom, DR DENTIST

  • General Practice Dentistry
  • Glenwood, MN
  • NPI 1740340256
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225258247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 213",
            "address_2": "1616 N FRANKLIN STR",
            "city": "GLENWOOD",
            "state": "MN",
            "postal_code": "56334",
            "telephone_number": "320-634-3556",
            "fax_number": "320-634-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 N FRANKLIN STR",
            "city": "GLENWOOD",
            "state": "MN",
            "postal_code": "56334",
            "telephone_number": "320-634-3556",
            "fax_number": "320-634-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH SERVICES MINNEWASKA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RINGDAHL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER W DR JEREMY MYROM",
        "authorized_official_telephone_number": "320-634-3556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roderick Benjamin Brown, M.D.
• Dana Lyn Citrowske Lee, CRNA
• Erin R Dahlke, M.D.
• Micala Sue Danielson, CNP
• Craig D Dejong, O.D.
• Michael David Flaten, LMFT
• Tanya Freske, CNP
• Raelin McKae Friese
• G E Maher LTD
• Austin Giese, PT, DPT

• General Practice Dentistry in Glenwood, MN
• Providers in Glenwood, 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.