ROBERTS DENTAL – NPI #1134260318
Clinic/Center

ROBERTS DENTAL is an AHC clinic located in ROBERTS, WI. NPPES has assigned the NPI number 1134260318 to ROBERTS DENTAL on February 09, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ROBERTS DENTAL” is a dba name, the actual legal business name for this organization is ST CROIX VALLEY DENTAL PLLC. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ROBERTS DENTAL below.

NPI Profile for
ST CROIX VALLEY DENTAL PLLC

NPI Number
1134260318
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST CROIX VALLEY DENTAL PLLC
Doing Business As (dba): ROBERTS DENTAL
Primary location
501 CHERRY LANE
ROBERTS, WI 54023
Phone: (651) 777-0210 Fax: (651) 777-0320
Mailing address
11240 STILLWATER BLVD N
LAKE ELMO DENTAL
LAKE ELMO, MN 55042
Phone: (651) 777-0210 Fax: (651) 777-0320
Organization Subpart
No
Authorized Official
DOUGLAS WOLFF
OWNER DENTIST
Phone: (651) 439-2600
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.