Provider Type Icon

AFFILIATED PEDIATRIC DENTISTS PA NPI 1790941425


NPI Information

NPI: 1790941425
Provider Name: AFFILIATED PEDIATRIC DENTISTS PA

Doing Business As: DENTISTRY FOR CHILDREN & ADOLESCENTS

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
6060 CLEARWATER DRIVE
SUITE 210
MINNETONKA, MN
ZIP 55343
Phone: (952) 932-0920
Get Directions

AFFILIATED PEDIATRIC DENTISTS PA is a pediatric dentistry dentist in Minnetonka, MN. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. AFFILIATED PEDIATRIC DENTISTS PA NPI is 1790941425. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Dentistry For Children & Adolescents.

The provider's business location address is:

6060 CLEARWATER DRIVE
SUITE 210
MINNETONKA, MN
ZIP 55343-468
Phone: (952) 932-0920
Fax: (952) 932-0929

The provider's authorized official is Mark Edward Greenwood .
The authorized official title is Treasurer and has the following contact phone number (952) 831-4400.

The enumeration date for this NPI number is 8/1/2008 and was last updated on 8/1/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric DentistryYes

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: 4/28/2024

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.