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

Individual provider Dentist · NPI 1790795235

Dr. Breynne Stacey Fordahl, DDS is a Dentist in Stillwater, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

14727 60th St N
Stillwater, MN 55082
Phone: (651) 439-9060
Fax: (651) 379-9893
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D12259 (MN)
Dentist Taxonomy 122300000X · Licence 12259 (MN)

Record details

NPI number1790795235
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 8, 2006
Last updated in NPPESNovember 30, 2012

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