Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mondale Dental LLC

Organization General Practice Dentistry · NPI 1053834481

Mondale Dental LLC is a General Practice Dentistry in Plymouth, Minnesota. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10600 Old County Rd 15 Ste 120
Plymouth, MN 55441-6205
Phone: (763) 512-8500
Fax: (763) 512-8592
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Dental Clinic/Center Taxonomy 261QD0000X

Record details

NPI number1053834481
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Mondale — Owner Sole Member · (763) 512-8500
Other names Roger Mondale, Dds; Roger Mondale, Dds; Roger Mondale Dds
NPI enumeratedJuly 18, 2017
Last updated in NPPESJuly 30, 2024
Mailing address10600 Old County Rd 15, Suite 120, Plymouth, MN 55441-6205

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