PROACTIVE DENTAL CLINIC CORP
NPI 1003654104
Dentist - Dental Public Health in Minneapolis, MN

Active since July 15, 2024
334 E LAKE ST STE 105, MINNEAPOLIS, MN 55408(310) 883-8932 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Proactive Dental Clinic Corp NPPES

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

PROACTIVE DENTAL CLINIC CORP (NPI 1003654104) is a healthcare organization registered as a dental public health in Minneapolis, Minnesota and active in the NPI registry since July 2024. The organization lists Solaman Shire, Owner, as its authorized official.

NPPES Registry Identity

NPI1003654104
Entity TypeOrganization
Primary Taxonomy1223D0001X
Legal Business NamePROACTIVE HEALTHCARE EDUCATION CENTER
Location Address334 E LAKE ST STE 105Minneapolis, MN 55408-2485
Mailing Address334 E Lake St Ste 105Minneapolis, MN 55408-2485
Organization SubpartNo
Authorized OfficialSolaman ShireOwner · (310) 883-8932
Enumeration DateJuly 15, 2024
Last NPPES UpdateJuly 16, 2024
NPPES CertifiedJuly 16, 2024
NPI 1003654104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.

334 E LAKE ST STE 105, Minneapolis, MN 55408

Other Names 1

Doing Business AsProactive Dental Clinic Corp

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Dental Public Health)
334 E LAKE ST STE 105
MINNEAPOLIS, MN 55408

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003654104, enumerated as an "organization" on July 15, 2024.

The provider is located at 334 E LAKE ST STE 105 MINNEAPOLIS, MN 55408 and the phone number is (310) 883-8932.

Dentist with taxonomy code 1223D0001X and a focus in Dental Public Health.