MINNESOTA DENTAL IMPLANTS NPI 1386312411

NPI Information

  • NPI: 1386312411
  • Provider Name: MINNESOTA DENTAL IMPLANTS
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: MN CENTER FOR DENTAL CARE
  • Address: 9075 QUADAY AVE NE STE 102
    OTSEGO, MN
    ZIP 55330
  • Phone: (763) 972-0440

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NPI Details

MINNESOTA DENTAL IMPLANTS is a dental clinic center in Otsego, MN. MINNESOTA DENTAL IMPLANTS NPI is 1386312411. The provider is registered as an organization entity type.
The provider Is Doing Business As Mn Center For Dental Care.

The provider's business location address is:

9075 QUADAY AVE NE STE 102
OTSEGO, MN
ZIP 55330-673
Phone: (763) 972-0440

The provider's authorized official is Paul Sheils .
The authorized official title is Owner/dentist and has the following contact phone number (763) 441-2452.

The enumeration date for this NPI number is 9/2/2021 and was last updated on 7/10/2024.

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

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