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

Dr. Roger Alan Mondale, DDS

Individual provider General Practice Dentistry · NPI 1023170248

Dr. Roger Alan Mondale, DDS is a General Practice Dentistry in Plymouth, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2006
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

10600 Old County Rd 15 Ste 120
Plymouth, MN 55441
Phone: (763) 512-8500
Fax: (763) 512-8592
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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 D7579 (MN)

Record details

NPI number1023170248
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedDecember 14, 2006
Last updated in NPPESDecember 16, 2009
Mailing address10600 Old County Rd 15, Suite 120, Plymouth, MN 55441

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