MINNEHAHA FALL FAMILY DENTAL
NPI 1104977222
Dentist in Minneapolis, MN

Q: What is Minnehaha Fall Family Dental's NPI number?

The NPI number for Minnehaha Fall Family Dental is 1104977222. It was assigned to this organization in the NPPES registry on January 16, 2007. The provider was formerly known as Jakubas Dental.

Q: What is Minnehaha Fall Family Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since January 16, 2007

4554 MINNEHAHA AVE, MINNEAPOLIS, MN 55406(612) 721-3012 Get Directions Write a Review

NPPES record last updated: December 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 31, 2020, Aug 22, 2020 (2 updates tracked since 2020).

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About Minnehaha Fall Family Dental NPPES

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

MINNEHAHA FALL FAMILY DENTAL (NPI 1104977222), doing business as Jakubas Dental, is a healthcare organization registered as a dentist in Minneapolis, Minnesota and active in the NPI registry since January 2007. The organization lists Jenna Lynn Swenson, Owner, as its authorized official.

NPPES Registry Identity

NPI1104977222

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameMINNEHAHA FALL FAMILY DENTAL

Location Address4554 MINNEHAHA AVEMinneapolis, MN 55406

Mailing Address4554 Minnehaha AveMinneapolis, MN 55406 · (612) 721-3012

Phone(612) 721-3012

Organization SubpartNo

Authorized OfficialJenna Lynn SwensonOwner · (320) 761-2259

Enumeration DateJanuary 16, 2007

Last NPPES UpdateDecember 31, 20202 updates tracked since enumeration

NPPES CertifiedDecember 31, 2020

✔ NPI 1104977222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MN · 10142

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.

4554 MINNEHAHA AVE, Minneapolis, MN 55406

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Other Names 1

Former Legal Business NameJakubas Dental

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.

JENNA LYNN SWENSON D.D.S

Dentist (General Practice)

4554 MINNEHAHA AVE
MINNEAPOLIS, MN 55406

Hennepin County (612) 721-3012

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 Minnehaha Fall Family Dental's NPI number?

The NPI number for Minnehaha Fall Family Dental is 1104977222. It was assigned to this organization in the NPPES registry on January 16, 2007. The provider was formerly known as Jakubas Dental.

Where is Minnehaha Fall Family Dental located?

Minnehaha Fall Family Dental is located at 4554 Minnehaha Ave, Minneapolis, MN 55406. The listed phone number is (612) 721-3012.

What is Minnehaha Fall Family Dental'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 Minnehaha Fall Family Dental was last updated on December 31, 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.