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PLUM TREE DENTAL
NPI 1093607764
Dentist - General Practice in Virginia, MN

Active since July 17, 2025
202 S 5TH AVE, VIRGINIA, MN 55792(218) 749-1776(218) 749-0866 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Plum Tree Dental NPPES

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

PLUM TREE DENTAL (NPI 1093607764) is a healthcare organization registered as a general practice in Virginia, Minnesota and active in the NPI registry since July 2025. The organization lists Clarissa Sparkman, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1093607764
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePLUM TREE DENTAL
Location Address202 S 5TH AVEVirginia, MN 55792-2638
Mailing Address202 S 5th AveVirginia, MN 55792-2638 · (218) 749-1776 · Fax (218) 749-0866
Phone(218) 749-1776
Fax(218) 749-0866
Organization SubpartNo
Authorized OfficialClarissa SparkmanOwner/dentist · (218) 749-1776
Enumeration DateJuly 17, 2025
NPPES CertifiedJuly 15, 2025
✔ NPI 1093607764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
202 S 5TH AVE, Virginia, MN 55792
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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. CAMERON JOSEPH JAYSON D.D.S., M.A., D.B.A.
Dentist
202 S 5TH AVE
VIRGINIA, MN 55792
St. Louis County (218) 749-1776

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 Plum Tree Dental's NPI number?

The NPI number for Plum Tree Dental is 1093607764. It was assigned to this organization in the NPPES registry on July 17, 2025.

Where is Plum Tree Dental located?

Plum Tree Dental is located at 202 S 5th Ave, Virginia, MN 55792. The listed phone number is (218) 749-1776.

What is Plum Tree Dental'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 Plum Tree Dental was last updated on July 17, 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.