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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHINE DENTAL LLC
NPI 1114832839
Dentist - General Practice in Saint Cloud, MN

Active since August 17, 2026
1020 4TH ST SE STE 200, SAINT CLOUD, MN 56304(320) 980-6031 Get Directions Write a Review

NPPES record added: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shine Dental Llc NPPES

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

SHINE DENTAL LLC (NPI 1114832839) is a healthcare organization registered as a general practice in Saint Cloud, Minnesota and active in the NPI registry since August 2026. The organization lists Mahado Onwukwe, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1114832839
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSHINE DENTAL LLC
Location Address1020 4TH ST SE STE 200Saint Cloud, MN 56304-1245
Mailing Address1020 4th St Se Ste 200Saint Cloud, MN 56304-1245 · (320) 980-6031
Phone(320) 980-6031
Organization SubpartNo
Authorized OfficialMahado OnwukweAuthorized Official · (320) 980-6031
Enumeration DateAugust 17, 2026
NPPES CertifiedAugust 17, 2026
✔ NPI 1114832839 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.
1020 4TH ST SE STE 200, Saint Cloud, MN 56304
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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

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 Shine Dental LLC's NPI number?

The NPI number for Shine Dental LLC is 1114832839. It was assigned to this organization in the NPPES registry on August 17, 2026.

Where is Shine Dental LLC located?

Shine Dental LLC is located at 1020 4th St SE Ste 200, Saint Cloud, MN 56304. The listed phone number is (320) 980-6031.

What is Shine Dental LLC'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 Shine Dental LLC was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.