Facial Pain Center PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

FACIAL PAIN CENTER PLLC

Practice address

1835 County Road C W Ste 200
Roseville, MN 55113-1353

Phone

(651) 636-2016

NPI assigned

Nov 14, 2018

Last updated

Aug 11, 2026By 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

Rebekah Ditter

Title

Senior Manager of Revenue Cycle

Phone

(651) 746-2884

Specialties & licenses 2

Addresses

Locations

Practitioners 7

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.

• Tanner Berg, DDS

  • General Practice Dentistry
  • Inver Grove Heights, MN
  • NPI 1295343952
  NPD (past)
• Davina Kumar, DMD

  • Orofacial Pain Dentistry
  • Minneapolis, MN
  • NPI 1043839574
  NPD (past)
• Kyle Ann Lohman

  • General Practice Dentistry
  • Shakopee, MN
  • NPI 1134737802
  NPD (past)
• Hilary Megan Mayne, DDS

  • Dentist
  • Minnetonka, MN
  • NPI 1235417783
  NPD (past)
• Stephen Robert McDonnell, D.D.S.

  • General Practice Dentistry
  • Inver Grove Heights, MN
  • NPI 1255493102
  NPD (past)
• Megan Strehlke, DDS

  • Dentist
  • Minnetonka, MN
  • NPI 1609494681
  NPD (past)
• Ellen Bursch, DDS

  • Dentist
  • Superior, WI
  • NPI 1699332445
  NPD (past)

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1407325830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 COUNTY ROAD C W STE 2210",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132551",
            "telephone_number": "651-633-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 COUNTY ROAD C W STE 200",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131353",
            "telephone_number": "651-636-2016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4200 W Old Shakopee Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554372976",
            "country_code": "US",
            "telephone_number": "952-926-3858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 W Nicollet Blvd",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553374524",
            "country_code": "US",
            "telephone_number": "952-926-3858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 W 38th Street",
            "address_2": "Ste. 250",
            "address_purpose": "LOCATION",
            "city": "St. Louis Park",
            "state": "MN",
            "postal_code": "55416",
            "country_code": "US",
            "telephone_number": "952-926-3858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "241 Radio Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551255805",
            "country_code": "US",
            "telephone_number": "651-636-2016",
            "fax_number": "651-760-3690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13059 Ridgedale Dr",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553051807",
            "country_code": "US",
            "telephone_number": "952-926-3858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4155 Dean Lakes Blvd",
            "address_purpose": "LOCATION",
            "city": "Shakopee",
            "state": "MN",
            "postal_code": "553792851",
            "country_code": "US",
            "telephone_number": "952-926-3858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4190 108th Ave NE Ste 130",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "554497441",
            "country_code": "US",
            "telephone_number": "651-636-2016",
            "fax_number": "651-760-3690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FACIAL PAIN CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "DITTER",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "SENIOR MANAGER OF REVENUE CYCLE",
        "authorized_official_telephone_number": "651-746-2884"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Jill Etter, RPH
• Anton Dante Evans, LMFT
• Trevor Lee Everett, M.D.
• Expressive Minds, LLC
• Extendicare Homes, Inc. (Rose of Sharon Manor)
• Jean Louise Fagerstrom, MSW, LICSW
• Faithfully Massage & Bodywork, LLC
• Lauren Falk, PT, DPT, ATC, CSCS
• Kecia K Farley, FNP-C
• John David Farr, PT

• Dental Clinic/Center in Roseville, MN
• Providers in Roseville, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.