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RIVERDALE PEDIATRIC DENTISTRY P.A.
NPI 1053690198
Dentist - Pediatric Dentistry in Coon Rapids, MN

Active since August 07, 2011
3585 124TH AVE NW, STE 400, COON RAPIDS, MN 55433(763) 767-1524(763) 767-1528 Get Directions Write a Review

NPPES record last updated: August 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Riverdale Pediatric Dentistry P.a. NPPES

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

RIVERDALE PEDIATRIC DENTISTRY P.A. (NPI 1053690198) is a healthcare organization registered as a pediatric dentistry in Coon Rapids, Minnesota and active in the NPI registry since August 2011. The organization lists Darcy Jay Rindelaub, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1053690198
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameRIVERDALE PEDIATRIC DENTISTRY P.A.
Location Address3585 124TH AVE NW, STE 400Coon Rapids, MN 55433-1006
Mailing Address3585 124th Ave Nw, Ste 400Coon Rapids, MN 55433-1006 · (763) 767-1524 · Fax (763) 767-1528
Phone(763) 767-1524
Fax(763) 767-1528
Organization SubpartNo
Authorized OfficialDarcy Jay RindelaubPediatric Dentist · (763) 767-1524
Enumeration DateAugust 7, 2011
✔ NPI 1053690198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MN · D11365
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3585 124TH AVE NW, Coon Rapids, MN 55433
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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 2

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

DR. DARCY JAY RINDELAUB D.D.S.
Dentist (Pediatric Dentistry)
3585 124TH AVE NW, SUITE 400
COON RAPIDS, MN 55433
Anoka County (763) 767-1524
MRS. MICHELLE L MEISER DDS
Dentist (Pediatric Dentistry)
3585 124TH AVE NW, STE 400
COON RAPIDS, MN 55433
Anoka County (763) 767-1524

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 Riverdale Pediatric Dentistry P.A.'s NPI number?

The NPI number for Riverdale Pediatric Dentistry P.A. is 1053690198. It was assigned to this organization in the NPPES registry on August 7, 2011.

Where is Riverdale Pediatric Dentistry P.A. located?

Riverdale Pediatric Dentistry P.A. is located at 3585 124th Ave NW Ste 400, Coon Rapids, MN 55433. The listed phone number is (763) 767-1524.

What is Riverdale Pediatric Dentistry P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Riverdale Pediatric Dentistry P.A. was last updated on August 7, 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.