GENTLE DENTISTRY OF MINNESOTA LTD NPI 1083011928

NPI Information

  • NPI: 1083011928
  • Provider Name: GENTLE DENTISTRY OF MINNESOTA, LTD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 8074 OLD CARRIAGE CT
    SHAKOPEE, MN
    ZIP 55379
  • Phone: (952) 746-0808

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NPI Details

GENTLE DENTISTRY OF MINNESOTA, LTD is a general practice dentist in Shakopee, 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. GENTLE DENTISTRY OF MINNESOTA, LTD NPI is 1083011928. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8074 OLD CARRIAGE CT
SHAKOPEE, MN
ZIP 55379
Phone: (952) 746-0808
Fax: (952) 746-0866

The provider's authorized official is Robert Luther Bodin .
The authorized official title is Ceo and has the following contact phone number (952) 224-9770.

The enumeration date for this NPI number is 11/20/2014 and was last updated on 2/21/2018.

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 PracticeYes

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: 3/30/2025

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