NICOLLET 38TH ST DENTAL NPI 1043471337

NPI Information

  • NPI: 1043471337
  • Provider Name: NICOLLET 38TH ST DENTAL
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 17 E 38TH ST
    MINNEAPOLIS, MN
    ZIP 55409
  • Phone: (612) 825-7835

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NPI Details

NICOLLET 38TH ST DENTAL is a general practice dentist in Minneapolis, MN. The provider is 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. NICOLLET 38TH ST DENTAL NPI is 1043471337. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17 E 38TH ST
MINNEAPOLIS, MN
ZIP 55409-341
Phone: (612) 825-7835
Fax: (612) 825-3819

The provider's authorized official is Charles W Sims .
The authorized official title is Dentist / Owner and has the following contact phone number (612) 825-7835.

The enumeration date for this NPI number is 6/19/2008 and was last updated on 6/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeD9005MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11568465441OTHERMINNESOTANPI DR WILLIAMS
21174638613OTHERMINNESOTANPI DR WARREN
3156718700OTHERMINNESOTAMA
4143320200OTHERMINNESOTAMA
5156718700OTHERMINNESOTANPI DR SIMS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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