Lifelong Dental Care

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LIFELONG DENTAL CARE

Practice address

1525 Livingston Ave Ste B
West St Paul, MN 55118-3430

Phone

(651) 457-4888

NPI assigned

Aug 18, 2020

Organization subpart

No

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

Authorized official

Name

Denyce Jones

Title

Office Manager

Phone

(651) 319-3546

Specialties & licenses 1

Addresses

Practitioners 1

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

• Stacy Lynn Roszkowski, DDS

  • Dentist
  • W. St. Paul, MN
  • NPI 1255421889
  NPD

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1689286015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 LIVINGSTON AVE STE B",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183430",
            "telephone_number": "651-457-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 LIVINGSTON AVE STE B",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183430",
            "telephone_number": "651-457-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELONG DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DENYCE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "651-319-3546"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Lynn Larson, DNP, APRN, PMHNP-BC
• Nicholas Lawson, M.D.
• Ruth M Lehman Wiens, MD
• Alice C Lehman, MS, RN, PMHCNS-BC
• Kimberly Lorene Lester, MSW, LICSW
• Karina Lopez Martinez
• Lovingcare Nursing & Home Care Services, Inc.
• Luna Land Dental Corp.
• Peter Andrew Lynn, PH.D., L.P.
• Diana Joyce Madigan

• Dental Clinic/Center in West St Paul, MN
• Providers in West St Paul, 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 18, 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.