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Contact Information

JAMES D ROSTVOLD, DDS
1043 E HIGHWAY 169
GRAND RAPIDS, MN55744
 Phone: 218-326-2560
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JAMES D ROSTVOLD · (Male)

NPI Number 1386712537
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/04/2006
Last updated 09/15/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 09461
  • MN Medicaid 872720100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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