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ADVANCED DENTAL CARE SERVICES
NPI 1083788574
Dentist - General Practice in Mound, MN

Active since November 17, 2006
2363 COMMERCE BLVD, MOUND, MN 55364(952) 472-1182 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Dental Care Services NPPES

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

ADVANCED DENTAL CARE SERVICES (NPI 1083788574) is a healthcare organization registered as a general practice in Mound, Minnesota and active in the NPI registry since November 2006. The organization lists Mazen Manla, Dentist, as its authorized official.

NPPES Registry Identity

NPI1083788574
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameADVANCED DENTAL CARE SERVICES
Location Address2363 COMMERCE BLVDMound, MN 55364-1425
Mailing Address2363 Commerce BlvdMound, MN 55364-1425 · (952) 472-1182
Phone(952) 472-1182
Organization SubpartNo
Authorized OfficialMazen ManlaDentist · (952) 472-1182
Enumeration DateNovember 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1083788574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · D 11855
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2363 COMMERCE BLVD, Mound, MN 55364
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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.

DR. MAZEN MANLA DDS
Dentist (General Practice)
2363 COMMERCE BLVD
MOUND, MN 55364
Hennepin County (952) 472-1182

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 Advanced Dental Care Services's NPI number?

The NPI number for Advanced Dental Care Services is 1083788574. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Advanced Dental Care Services located?

Advanced Dental Care Services is located at 2363 Commerce Blvd, Mound, MN 55364. The listed phone number is (952) 472-1182.

What is Advanced Dental Care Services's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Advanced Dental Care Services was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.