1. Home
  2. Directory
  3. Minnesota
  4. Maplewood
  5. Dentist
  6. NPI Profile

COMMUNITY DENTAL CARE INC
NPI 1003886383
Dentist in Maplewood, MN

Active since January 26, 2006
600 CARLTON STREET N, MAPLEWOOD, MN 55119(651) 774-2959(651) 774-1997 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Community Dental Care Inc NPPES

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

COMMUNITY DENTAL CARE INC (NPI 1003886383), doing business as Community Dental Care, is a healthcare organization registered as a dentist in Maplewood, Minnesota and active in the NPI registry since January 2006. The organization lists Kori C Carlson, Hr Director, as its authorized official.

NPPES Registry Identity

NPI1003886383
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCOMMUNITY DENTAL CARE INC
Location Address600 CARLTON STREET NMaplewood, MN 55119
Mailing Address1670 Beam AveMaplewood, MN 55109 · (651) 925-8400 · Fax (651) 925-8439
Phone(651) 774-2959
Fax(651) 774-1997
Organization SubpartNo
Authorized OfficialKori C CarlsonHr Director · (651) 925-8427
Enumeration DateJanuary 26, 2006
Last NPPES UpdateJuly 24, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1003886383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · 460668000
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.
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
600 CARLTON STREET N, Maplewood, MN 55119
Open in Google Maps ↗

Other Names 1

Doing Business AsCommunity Dental Care

Other Identifiers 1

Medicaid460668000MN

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 Community Dental Care Inc's NPI number?

The NPI number for Community Dental Care Inc is 1003886383. It was assigned to this organization in the NPPES registry on January 26, 2006. The provider is doing business as Community Dental Care.

Where is Community Dental Care Inc located?

Community Dental Care Inc is located at 600 Carlton Street N, Maplewood, MN 55119. The listed phone number is (651) 774-2959.

What is Community Dental Care Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Community Dental Care Inc was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.