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: August 09, 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 NPPES & CMS

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

What is Proactive Healthcare Education Center's NPI number?

The NPI number for Proactive Healthcare Education Center is 1003654104. It was assigned to this organization in the NPPES registry on July 15, 2024. The provider is doing business as Proactive Dental Clinic Corp.

Where is Proactive Healthcare Education Center located?

Proactive Healthcare Education Center is located at 334 E Lake St Ste 105, Minneapolis, MN 55408. The listed phone number is (310) 883-8932.

What is Proactive Healthcare Education Center's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

When was this NPI record last updated?

The NPPES record for Proactive Healthcare Education Center was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.