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CREEKSIDE DENTAL PLLC
NPI 1043955412
Dentist in St Louis Park, MN

Active since May 01, 2022
3340 REPUBLIC AVE STE 130, ST LOUIS PARK, MN 55426(763) 442-7624 Get Directions Write a Review

NPPES record last updated: May 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Creekside Dental Pllc NPPES

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

CREEKSIDE DENTAL PLLC (NPI 1043955412) is a healthcare organization registered as a dentist in St Louis Park, Minnesota and active in the NPI registry since May 2022. The organization lists Gabriel De Los Rios, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1043955412
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCREEKSIDE DENTAL PLLC
Location Address3340 REPUBLIC AVE STE 130St Louis Park, MN 55426-4189
Mailing Address12445 Porcupine CtEden Prairie, MN 55344-3972 · (612) 327-3331
Phone(763) 442-7624
Organization SubpartNo
Authorized OfficialGabriel De Los RiosOwner/dentist · (763) 442-7624
Enumeration DateMay 1, 2022
NPPES CertifiedMay 1, 2022
✔ NPI 1043955412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
3340 REPUBLIC AVE STE 130, St Louis Park, MN 55426
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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

Other Providers at the Same Location NPPES

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

GABRIEL ALBERTO DE LOS RIOS DDS
Dentist
3340 REPUBLIC AVE STE 130
ST LOUIS PARK, MN 55426
Hennepin County (952) 938-2740

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 Creekside Dental PLLC's NPI number?

The NPI number for Creekside Dental PLLC is 1043955412. It was assigned to this organization in the NPPES registry on May 1, 2022.

Where is Creekside Dental PLLC located?

Creekside Dental PLLC is located at 3340 Republic Ave Ste 130, St Louis Park, MN 55426. The listed phone number is (763) 442-7624.

What is Creekside Dental PLLC'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 Creekside Dental PLLC was last updated on May 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.