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NORTHWEST FAMILY DENTAL CENTER TN
NPI 1114130010
Dentist - General Practice in Saint Michael, MN

Active since May 07, 2007
12725 43RD ST NE, SUITE 202, SAINT MICHAEL, MN 55376(763) 497-2367(763) 497-8171 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northwest Family Dental Center Tn NPPES

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

NORTHWEST FAMILY DENTAL CENTER TN (NPI 1114130010) is a healthcare organization registered as a general practice in Saint Michael, Minnesota and active in the NPI registry since May 2007. The organization lists David A. Desimone, Owner, as its authorized official.

NPPES Registry Identity

NPI1114130010
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNORTHWEST FAMILY DENTAL CENTER TN
Location Address12725 43RD ST NE, SUITE 202Saint Michael, MN 55376-4900
Mailing Address12725 43rd St Ne, Suite 202Saint Michael, MN 55376-4900 · (763) 497-2367 · Fax (763) 497-8171
Phone(763) 497-2367
Fax(763) 497-8171
Organization SubpartNo
Authorized OfficialDavid A. DesimoneOwner · (763) 497-2367
Enumeration DateMay 7, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114130010 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 · 8424
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.
12725 43RD ST NE, Saint Michael, MN 55376
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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 MULTIPLE 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. DAVID ALBERT DESIMONE D.D.S.
Dentist (General Practice)
12725 43RD ST NE, SUITE 202
SAINT MICHAEL, MN 55376
Wright County (763) 497-2367

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 Northwest Family Dental Center Tn's NPI number?

The NPI number for Northwest Family Dental Center Tn is 1114130010. It was assigned to this organization in the NPPES registry on May 7, 2007.

Where is Northwest Family Dental Center Tn located?

Northwest Family Dental Center Tn is located at 12725 43rd St NE Suite 202, Saint Michael, MN 55376. The listed phone number is (763) 497-2367.

What is Northwest Family Dental Center Tn'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 Northwest Family Dental Center Tn 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.