Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ROGER ALAN MONDALE, D.D S.

Active Sole Proprietor

DR. ROGER ALAN MONDALE, D.D S. is a General Dentistry healthcare provider located in PLYMOUTH, Minnesota. NPI 1023170248 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · PLYMOUTH, MN

Registration Details

NPI Number: 1023170248
Provider Type: Individual
Gender: Male
NPI Issued: Dec 14, 2006 (19.656455626397 yrs)
Last Updated: Dec 16, 2009
License: D7579 (MN)
Sole Proprietor: Yes

Practice Information

Address: 10600 OLD COUNTY RD. 15

SUITE 120

PLYMOUTH, MN, 55441
Browse MN providers · Browse ZIP 55441
Phone: 7635128500
Fax: 7635128592
Primary Specialty: General Dentistry
1223G0001X

Other General Dentistry Providers in PLYMOUTH, MN

Name	Credential	NPI
DR. WILLIAM L LASPE	D.D.S.	1477545135
DR. DARREN EUGENE HOVLAND	D.D.S.	1184613390
MICHAEL NELSON	—	1003806027
THOMAS MARVIN GARVIN	D.D.S.	1427089317
DR. LEANN CLARICE SALO	D.D.S.	1366465221
GREGORY DAVID LISKA	DDS	1881618296

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.