Provider Demographics
NPI:1114076692
Name:MENSING, CANDACE ANNETTE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CANDACE
Middle Name:ANNETTE
Last Name:MENSING
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2743 SUPERIOR DR NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-1773
Mailing Address - Country:US
Mailing Address - Phone:507-288-8060
Mailing Address - Fax:507-288-3344
Practice Address - Street 1:2743 SUPERIOR DR NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-1773
Practice Address - Country:US
Practice Address - Phone:507-288-8060
Practice Address - Fax:507-288-3344
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN81161223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry