Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KIMBERLY ELLEN ROSTVOLD, DDS
ActiveDR. KIMBERLY ELLEN ROSTVOLD, DDS is a Pediatric Dentistry healthcare provider located in HERMANTOWN, Minnesota. NPI 1417479700 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · HERMANTOWN, MN
Registration Details
- NPI Number
- 1417479700
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 9, 2017 (9.0646177464645 yrs)
- Last Updated
- Jun 16, 2025
- Licenses
-
D14233 (MN)DS041402 (PA)D14233 (MN)
Practice Information
- Address
-
4419 AIR BASE RDHERMANTOWN, MN, 558111847Browse MN providers · Browse ZIP 55811
- Phone
- 2187282117
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Dentist
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in HERMANTOWN, MN
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN PATRICK CONRY | BDS MS | 1205958931 |
| DR. MARK JOHN BRUZEK | D.D.S., M.S. | 1568687044 |
| ABBY PERSHKE JOHNSON | DDS | 1922290345 |
| DR. HANNAH RUTTEN | DDS | 1922505403 |
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.