Rosemount Family Dentistry PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ROSEMOUNT FAMILY DENTISTRY PA

Practice address

14590 South Robert Trail
Rosemount, MN 55068-3195

Phone

(651) 423-3993

Fax

(651) 423-1417

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Duane Lee Bergh, DDSNPI 1093895609

Title

President

Phone

(651) 423-3993

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.

• Duane Lee Bergh, DDS

  • General Practice Dentistry
  • Rosemount, MN
  • NPI 1093895609
  NPD (past) Authorized official
• Le Manh Ho, DDS

  • General Practice Dentistry
  • Rosemount, MN
  • NPI 1326322249
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851471460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14590 SOUTH ROBERT TRAIL",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550683195",
            "telephone_number": "651-423-3993",
            "fax_number": "651-423-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14590 SOUTH ROBERT TRAIL",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550683195",
            "telephone_number": "651-423-3993",
            "fax_number": "651-423-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEMOUNT FAMILY DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGH",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-423-3993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Jonathan Rice, D.C.
• Dylan Riggs, DC
• Samantha Roach, D.D.S.
• Jenna Marie Rock, LGSW
• Edgar Leonel Rodriguez Mendez
• Rosemount Minnesota Orthodontics
• Rosemount Senior Living Operations, LLC
• Alexis Shante Ross, PMHNP-BC
• William J Rossmiller, DPT
• Russell N Osnes OD & Associates PA

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