MEDICARE: SARAH J. MELSTROM D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	11946	MN

General Provider Information

NPI Number	:	1952463457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH J. MELSTROM D.D.S.

Provider Business Mailing Address
First Line	:	4700 LEXINGTON AVE N
Second Line	:
City	:	SHOREVIEW
State	:	MN
Zip	:	55126-5844
Country	:	US
Telephone Number	:	651-483-1858
Fax Number	:	651-766-8400

Provider Business Practice Location Address
First Line	:	4700 LEXINGTON AVE N
Second Line	:
City	:	SHOREVIEW
State	:	MN
Zip	:	55126-5844
Country	:	US
Telephone Number	:	651-483-1858
Fax Number	:	651-766-8400

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1225031156 — NORTHVIEW DENTAL, P.A.
Practice Location Address:

4700 LEXINGTON AVE N
SHOREVIEW, MN
55126-5844

Practice Phone: 651-483-1858
Practice Fax: 651-766-8400

1174685671 — DAVID H JOHNSON D.D.S.
Practice Location Address:

4700 LEXINGTON AVE N
SHOREVIEW, MN
55126-5844

Practice Phone: 651-483-1858
Practice Fax: 651-766-8400

1376605865 — JEFFREY B. NORSTED D.D.S.
Practice Location Address:

4700 LEXINGTON AVE N
SHOREVIEW, MN
55126-5844

Practice Phone: 651-483-1858
Practice Fax: 651-766-8400

1518029016 — PETER V. SWENSON D.D.S.
Practice Location Address:

4700 LEXINGTON AVE N
SHOREVIEW, MN
55126-5844

Practice Phone: 651-483-1858
Practice Fax: 651-766-8400

1114872223 — RILEY ENGSTROM MA, LPCC, LADC
Practice Location Address:

4570 CHURCHILL ST STE 300
SHOREVIEW, MN
55126-2274

Practice Phone: 866-938-4159
Practice Fax:

1518964337 — CRITICAL CARE SERVICES, INC
Practice Location Address:

4188 LEXINGTON AVENUE N
SHOREVIEW, MN
55126

Practice Phone: 612-638-4900
Practice Fax: 612-638-4906

Directions to “ SARAH J. MELSTROM D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.