Whalio Doctors

NPI 1003028861

Matthew Patrick Dale, DDS

Practitioner General Practice Dentistry Rogers, MN

Practice location

Address
21410 136th Ave North Suite #109, Rogers, MN 55374
Phone
(763) 428-2217
Fax
(763) 428-8586

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence D10980 (MN)

Registry record

NPI
1003028861
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 May 2007
Record last updated
3 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.