# DR. SHANDRA DEE ROSENFELDT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1740386853
- **Gender:** F
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1965 | ND | Yes |
| 1223G0001X | General Practice Dentistry | D12112 | MN | — |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 01/27/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1850732 | UNITED CONCORDIA | PA |
| 01 | — | 949311 | DENTAL SERVICE CORP OF ND | ND |
