Sarah J Magnuson, DDS
Individual provider Active NPI General Practice Dentistry · Greenfield, MN
NPI 1457510596 · NPPES record last updated Nov 12, 2015
Key facts
- NPI
- 1457510596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D12538 (MN)
- Practice address
- 7500 State Highway 55
Suite 200
Greenfield, MN 55373-6620 - Phone
- (763) 575-8038
- Fax
- (763) 575-8039
- NPI assigned
- Jun 4, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151116001792 | MN | Order and Referring Only - Dentist |
2264742568 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Sarah Dental PLLC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D12538 | MN | Yes |
Addresses
Primary practice location
7500 State Highway 55
Suite 200
Greenfield, MN 55373-6620
Mailing address
7500 State Highway 55
Suite 200
Greenfield, MN 55373-6620
Phone (763) 575-8038
Other names
- Dr. Sarah J Jorgenson
Other providers in Greenfield, MN
- Alliance Home Health Care, LLC
- Juli Teien LMFT
- Lake Sarah Dental PLLC
- On Track Equine Assisted Psychotherapy- Eap
- Juli Diane Teien
All providers in Greenfield, MN · General Practice Dentistry in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.