Lorris G. Vatnsdal, LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8949 Issued in MN

Legal business name

LORRIS G. VATNSDAL, LTD.

Practice address

205A 2ND Ave NW
Roseau, MN 56751-1007

Phone

(218) 463-2100

Fax

(218) 463-3055

NPI assigned

Dec 27, 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. Lorris G. Vatnsdal, D.D.S.NPI 1235176033

Title

Owner

Phone

(218) 463-2100

Specialties & licenses 1

Addresses

Locations

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.

• Lorris Galen Vatnsdal II

  • General Practice Dentistry
  • Roseau, MN
  • NPI 1235176033
  NPD (past) Authorized official
• Cynthia Faye Drost-Sandy, DDS

  • Dentist
  • Roseau, MN
  • NPI 1164584322
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336204536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "ROSEAU",
            "state": "MN",
            "postal_code": "567510188",
            "telephone_number": "218-463-2100",
            "fax_number": "218-463-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205A 2ND AVE NW",
            "city": "ROSEAU",
            "state": "MN",
            "postal_code": "567511007",
            "telephone_number": "218-463-2100",
            "fax_number": "218-463-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORRIS G. VATNSDAL, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VATNSDAL",
        "authorized_official_first_name": "LORRIS",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-463-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D8949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifecare Medical Center
• Lifecare Medical Center
• Lifecare Medical Center
• Lifecare Medical Center
• Lifecare Medical Center
• Jack Victor Lundbohm
• Renae J Matthews, PA-C
• Mattson Pharmacy, Inc
• Kayla Marie McLaughlin, RN
• Mind Body Health & Wellness PA

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