MEDICARE: DAKOTA CHILDREN'S DENTISTRY

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	1223P0221X	Pediatric Dentistry	D10462	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306924584
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAKOTA CHILDREN'S DENTISTRY

Provider Business Mailing Address
First Line	:	3410 151ST ST W
Second Line	:
City	:	ROSEMOUNT
State	:	MN
Zip	:	55068-1755
Country	:	US
Telephone Number	:	651-322-5788
Fax Number	:	651-322-4257

Provider Business Practice Location Address
First Line	:	3410 151ST ST W
Second Line	:
City	:	ROSEMOUNT
State	:	MN
Zip	:	55068-1755
Country	:	US
Telephone Number	:	651-322-5788
Fax Number	:	651-322-4257

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DANIEL H GLENN
Credential	:	D.D.S, M.S.
Telephone Number	:	651-322-5788

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1871564195 — KERRY GWEN JOHNSON WINTERS DDS
Practice Location Address:

3410 151ST ST W
ROSEMOUNT, MN
55068-1755

Practice Phone: 651-322-5788
Practice Fax: 651-322-4257

1760727804 — WINTERS PEDIATRIC DENTISTRY, PLLC
Practice Location Address:

3410 151ST ST W
ROSEMOUNT, MN
55068-1755

Practice Phone: 651-322-5788
Practice Fax:

1730036849 — KAITLYN JEAN JENNE
Practice Location Address:

1199 APPLEWOOD CT
ROSEMOUNT, MN
55068-6206

Practice Phone: 612-300-0825
Practice Fax:

1588530125 — CHRISTINA TUOHY
Practice Location Address:

1300 145TH ST E
ROSEMOUNT, MN
55068-2932

Practice Phone: 651-423-8229
Practice Fax:

1487501987 — PATHWAY HOUSING SERVICES
Practice Location Address:

13804 ADAN AVE
ROSEMOUNT, MN
55068-3171

Practice Phone: 612-472-5112
Practice Fax:

1396497954 — JANETTE JORGENSEN DRISCOLL MS
Practice Location Address:

15265 CARROUSEL WAY
ROSEMOUNT, MN
55068-1760

Practice Phone: 952-443-4600
Practice Fax:

Directions to “DAKOTA CHILDREN'S DENTISTRY ” 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.