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PRAIRIE DENTAL GROUP
NPI 1104057975
Dentist - General Practice in Eden Prairie, MN

Active since July 28, 2009
6608 FLYING CLOUD DR, EDEN PRAIRIE, MN 55344(952) 903-5000(952) 944-0642 Get Directions Write a Review

NPPES record last updated: July 28, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prairie Dental Group NPPES

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

PRAIRIE DENTAL GROUP (NPI 1104057975) is a healthcare organization registered as a general practice in Eden Prairie, Minnesota and active in the NPI registry since July 2009. The organization lists Caryl Leach, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104057975
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePRAIRIE DENTAL GROUP
Location Address6608 FLYING CLOUD DREden Prairie, MN 55344-3381
Mailing Address6608 Flying Cloud DrEden Prairie, MN 55344-3381 · (952) 903-5000 · Fax (952) 944-0642
Phone(952) 903-5000
Fax(952) 944-0642
Organization SubpartNo
Authorized OfficialCaryl LeachAdministrator · (952) 903-5000
Enumeration DateJuly 28, 2009
✔ NPI 1104057975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
6608 FLYING CLOUD DR, Eden Prairie, MN 55344
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

DR. JUDSON W HEITNER D.D.S.
Dentist (General Practice)
6608 FLYING CLOUD DR, SUITE 200
EDEN PRAIRIE, MN 55344
Hennepin County (952) 903-5000
DR. ERIK DAVIS D.D.S.
Dentist
6608 FLYING CLOUD DR
EDEN PRAIRIE, MN 55344
Hennepin County (952) 903-5000
DR. STEPHEN G NAGY D.D.S.
Dentist (General Practice)
6608 FLYING CLOUD DR, SUITE 200
EDEN PRAIRIE, MN 55344
Hennepin County (952) 903-5000
DR. JEFFREY WILLIAM HEITNER D.D.S.
Dentist (General Practice)
6608 FLYING CLOUD DR, SUITE 200
EDEN PRAIRIE, MN 55344
Hennepin County (952) 903-5000
DR. JAMES PAUL WATSON DDS
Dentist
6608 FLYING CLOUD DR
EDEN PRAIRIE, MN 55344
Hennepin County (952) 903-5000

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 Prairie Dental Group's NPI number?

The NPI number for Prairie Dental Group is 1104057975. It was assigned to this organization in the NPPES registry on July 28, 2009.

Where is Prairie Dental Group located?

Prairie Dental Group is located at 6608 Flying Cloud Dr, Eden Prairie, MN 55344. The listed phone number is (952) 903-5000.

What is Prairie Dental Group'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 Prairie Dental Group was last updated on July 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.