Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265511844 Individual Practitioner Female Practitioner

Dr. Kellie Elena Roseberg , DDS

Dentist - General Practice • Buffalo, MN

Professional Overview & Biography Verified Profile Summary

Dr. Kellie Roseberg, DDS is a registered healthcare professional specializing in Dentist - General Practice in Buffalo, MN. Practice services are available at 306 BRIGHTON AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

306 Brighton Ave S

Buffalo, MN 55313

Telephone 7636822572
Fax 7635332034
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Buffalo, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
8 Specialists

Practicing in Buffalo, MN (2262 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D12121

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Edward Henk , DDS

Dentist - General Practice

NPI 1164433934

Doctor of Dental Surgery

NPI 1396846010

Doctor of Dental Surgery

Taylor Spier

Dentist - General Practice

NPI 1417648064
Dr. Lisa Spier , DDS

Dentist - General Practice

NPI 1629089479

Doctor of Dental Surgery

NPI 1699173369

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 18, 2019

Registered at 306 BRIGHTON AVE S, BUFFALO, MN 55313 (Tel: 7636822572)

📍
Updated Business Mailing Address June 18, 2019

Registered at 306 BRIGHTON AVE S, BUFFALO, MN 55313 (Tel: 7636822572)

👤
Provider Name / Credentials Updated June 18, 2019

Recorded as KELLIE ROSEBERG, DDS

NPI Profile Active November 06, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 06, 2012

Registered at 4125 LAKELAND AVE N, SUITE 100, ROBBINSDALE, MN 554221852 (Tel: 7635375123)

📍
Updated Business Mailing Address November 06, 2012

Registered at 4125 LAKELAND AVE N, SUITE 100, ROBBINSDALE, MN 554221852 (Tel: 7635375123)

👤
Provider Name / Credentials Updated November 06, 2012

Recorded as KELLIE MOLIN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2012

Dentist (License #D12121 in MN)

🟢
Initial NPI Registration & Enumeration November 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265511844
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2006
Last Update: June 18, 2019
Sole Proprietor: No

Mailing Address

306 Brighton Ave S

Buffalo, MN 55313

Phone: 7636822572

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.