Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PATRICIA FERNANDES BOETTNER, DDS, MS
ActiveDR. PATRICIA FERNANDES BOETTNER, DDS, MS is a 1223X2210X healthcare provider located in ROSEVILLE, Minnesota. NPI 1700153368 is currently active in the NPPES registry. Verify at CMS.
1223X2210X · ROSEVILLE, MN
Registration Details
- NPI Number
- 1700153368
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 28, 2011 (14.671625529903 yrs)
- Last Updated
- Feb 9, 2026
- Licenses
-
D13422 (MN)D13422 (MN)FL34 (MN)D13422 (MN)
Practice Information
- Address
-
1835 COUNTY ROAD C W STE 200ROSEVILLE, MN, 551131353Browse MN providers · Browse ZIP 55113
- Phone
- 6516362016
- Primary Specialty
-
1223X2210X
1223X2210X
- Additional Specialty
- 1223X2210X
- Additional Specialty
- Dentist
- Additional Specialty
- Multi-Specialty Clinic
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.