Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TARA VONNE BRODERSEN, DDS
Active Sole ProprietorDR. TARA VONNE BRODERSEN, DDS is a General Dentistry healthcare provider located in SAINT PAUL, Minnesota. NPI 1336138882 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SAINT PAUL, MN
Registration Details
- NPI Number
- 1336138882
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 18, 2005 (20.790536065561 yrs)
- Last Updated
- Mar 8, 2019
- License
-
D11913 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 UNIVERSITY AVE ESAINT PAUL, MN, 551012507Browse MN providers · Browse ZIP 55101
- Phone
- 6512912848
- Fax
- 6516026885
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SAINT PAUL, MN
| Name | Credential | NPI |
|---|---|---|
| DR. GREGORY MICHAEL SHEEHAN | DDS | 1376549352 |
| DR. DAVID RISCHALL | D.D.S. | 1891783379 |
| DR. JEFFREY J ROZINKA | DDS | 1942299896 |
| DR. MARK W. HOUSTON | DDS | 1770572414 |
| DR. PHUONG-GIANG THI PHAM | DDS | 1427047638 |
| DR. PAUL FRANKLIN KIRKEGAARD JR. | DDS | 1053301960 |
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.