SMILES FOR LIFE NPI 1275201782

NPI Information

  • NPI: 1275201782
  • Provider Name: SMILES FOR LIFE
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 5009 EXCELSIOR BLVD STE 124
    SAINT LOUIS PARK, MN
    ZIP 55416
  • Phone: (952) 926-0020

Map and Directions

Get Directions

NPI Details

SMILES FOR LIFE is a dental clinic center in Saint Louis Park, MN. SMILES FOR LIFE NPI is 1275201782. The provider is registered as an organization entity type.

The provider's business location address is:

5009 EXCELSIOR BLVD STE 124
SAINT LOUIS PARK, MN
ZIP 55416-040
Phone: (952) 926-0020

The provider's authorized official is Susan Gross .
The authorized official title is Dentist and has the following contact phone number (612) 309-9713.

The enumeration date for this NPI number is 8/31/2021 and was last updated on 9/1/2021.

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
1261QD0000XClinic/CenterDentalYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI