Provider Demographics
NPI:1114330057
Name:NYGAARD, RHONDA GLORIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:GLORIA
Last Name:NYGAARD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 1ST ST NE
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56345-1467
Mailing Address - Country:US
Mailing Address - Phone:320-632-6621
Mailing Address - Fax:320-414-0463
Practice Address - Street 1:119 1ST ST NE
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:MN
Practice Address - Zip Code:56345-1467
Practice Address - Country:US
Practice Address - Phone:320-632-6621
Practice Address - Fax:320-414-0463
Is Sole Proprietor?:No
Enumeration Date:2014-06-09
Last Update Date:2015-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND133901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice