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NICOLLET DENTAL
NPI 1003108895
Dentist in Minneapolis, MN

Active since May 11, 2011
6101 NICOLLET AVE. SO., MINNEAPOLIS, MN 55419(612) 866-8550(612) 866-9453 Get Directions Write a Review

NPPES record last updated: May 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicollet Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLLET DENTAL (NPI 1003108895) is a healthcare organization registered as a dentist in Minneapolis, Minnesota and active in the NPI registry since May 2011. The organization lists Casey Lee Nelson, Owner, as its authorized official.

NPPES Registry Identity

NPI1003108895
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameNICOLLET DENTAL
Location Address6101 NICOLLET AVE. SO.Minneapolis, MN 55419
Mailing Address6101 Nicollet Ave. So.Minneapolis, MN 55419 · (612) 866-8550 · Fax (612) 866-9453
Phone(612) 866-8550
Fax(612) 866-9453
Organization SubpartNo
Authorized OfficialCasey Lee NelsonOwner · (612) 866-8550
Enumeration DateMay 11, 2011
✔ NPI 1003108895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D12104
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
6101 NICOLLET AVE. SO., Minneapolis, MN 55419
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicollet Dental's NPI number?

The NPI number for Nicollet Dental is 1003108895. It was assigned to this organization in the NPPES registry on May 11, 2011.

Where is Nicollet Dental located?

Nicollet Dental is located at 6101 Nicollet Ave. So., Minneapolis, MN 55419. The listed phone number is (612) 866-8550.

What is Nicollet Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Nicollet Dental accept?

Health plans from UnitedHealthcare list Nicollet Dental as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicollet Dental was last updated on May 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.