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

Rogers Dental Center PA

Organization General Practice Dentistry · NPI 1386715704

Rogers Dental Center PA provides General Practice Dentistry in Rogers, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21410 136th Ave N Ste #109
Rogers, MN 55374
Phone: (763) 428-2217
Fax: (763) 428-8586
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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 D9395 (MN)

Record details

NPI number1386715704
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shana Heisler — President · (763) 428-2217
NPI enumeratedNovember 10, 2006
Last updated in NPPESJuly 2, 2019
Mailing address21410 136th Ave North Suite #109, Rogers, MN 55374

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