Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BREYNNE STACEY FORDAHL, D.D.S.
ActiveDR. BREYNNE STACEY FORDAHL, D.D.S. is a General Dentistry healthcare provider located in STILLWATER, Minnesota. NPI 1790795235 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · STILLWATER, MN
Registration Details
- NPI Number
- 1790795235
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 8, 2006 (19.980813809068 yrs)
- Last Updated
- Nov 30, 2012
- Licenses
-
12259 (MN)D12259 (MN)
Practice Information
- Address
-
14727 60TH ST. NSTILLWATER, MN, 55082Browse MN providers · Browse ZIP 55082
- Phone
- 6514399060
- Fax
- 6513799893
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in STILLWATER, MN
| Name | Credential | NPI |
|---|---|---|
| DR. PHILIP V. FLODIN | — | 1184616005 |
| RICHARD L SCHNEIDER | DDS | 1013974781 |
| DR. BRIAN LEE BUNCE | DDS | 1437116605 |
| MRS. ROSALIE J PERPICH | D.D.S, P.A | 1538272950 |
| DR. JOHN FORAN REARDON | D.D.S. | 1336246057 |
| DR. EUGENE ARTHUR PEET | DDS | 1326107830 |
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.