PLEASANT AVENUE DENTISTRY PLLC NPI 1679157622

NPI Information

  • NPI: 1679157622
  • Provider Name: PLEASANT AVENUE DENTISTRY PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 406 PLEASANT AVE S
    PARK RAPIDS, MN
    ZIP 56470
  • Phone: (218) 237-7200

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NPI Details

PLEASANT AVENUE DENTISTRY PLLC is a dental clinic center in Park Rapids, MN. PLEASANT AVENUE DENTISTRY PLLC NPI is 1679157622. The provider is registered as an organization entity type.

The provider's business location address is:

406 PLEASANT AVE S
PARK RAPIDS, MN
ZIP 56470-428
Phone: (218) 237-7200

The provider's authorized official is Benjamin Sitz .
The authorized official title is Owner/president and has the following contact phone number (218) 237-7200.

The enumeration date for this NPI number is 5/6/2021 and was last updated on 5/6/2021.

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

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