Philip Bruce Sallberg, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

8357 Issued in MN

Practice address

308 Center St W
Roseau, MN 56751-1419

Phone

(218) 463-1070

Fax

(218) 463-1170

NPI assigned

Nov 8, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: psallberg817360@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center Street Dental Professionals, P.a.

  • General Practice Dentistry
  • Roseau, MN
  • NPI 1346410909
  NPD (past)
• Mind Body Health & Wellness PA

  • Customized Equipment (DME)
  • Roseau, MN
  • NPI 1992628531
  NPD (past)

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992786966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 CENTER ST W",
            "city": "ROSEAU",
            "state": "MN",
            "postal_code": "567511419",
            "telephone_number": "218-463-1070",
            "fax_number": "218-463-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 CENTER ST W",
            "city": "ROSEAU",
            "state": "MN",
            "postal_code": "567511419",
            "telephone_number": "218-463-1070",
            "fax_number": "218-463-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLBERG",
        "first_name": "PHILIP",
        "middle_name": "BRUCE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "8357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseau Community School #682
• Roseau County Committee on Aging
• Roseau County Social Services
• Roseau Warroad Eye Clinic PA (Roseau Eye Clinic)
• Roseau/Warroad Eye Clinic, P.a.
• Laura Saltzman, MD
• Steven Semingson, PHARMD.
• Shopko Stores Operating Co LLC (Shopko Pharmacy 744)
• Crystal Dawn Silas, MD
• David Simmons, PHARM.D, BCPS

• Dentist in Roseau, MN
• Providers in Roseau, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.