Rodenburg, Steven Jay
Rodenburg, Steven Jay is an individual health care provider with primary practice located at 8401 Seasons Pkwy , Woodbury MN 55125-3414. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Rodenburg, Steven Jay can be contacted via phone (651) 738-2341.Contact Information
Primary practice address
8401 Seasons Pkwy
Woodbury MN 55125-3414
Phone: (651) 738-2341
Fax: (651) 738-9048
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D9744 | Minnesota |
Profile Details
| NPI number | 1457423519 |
|---|---|
| LBN Legal business name | Rodenburg, Steven Jay |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457423519 | NPPES |
| Wisconsin | MEDICAID | 33797200 |
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