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MINNESOTA DENTAL SURGERY PLLC
NPI 1124478607
Clinic/Center - Dental in Bloomington, MN

Active since June 15, 2016
9801 DUPONT AVE S, BLOOMINGTON, MN 55431(952) 215-7419 Get Directions Write a Review

NPPES record last updated: June 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Minnesota Dental Surgery Pllc NPPES

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

MINNESOTA DENTAL SURGERY PLLC (NPI 1124478607) is a healthcare organization registered as a dental in Bloomington, Minnesota and active in the NPI registry since June 2016. The organization lists Bennett Isabella, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124478607
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMINNESOTA DENTAL SURGERY PLLC
Location Address9801 DUPONT AVE SBloomington, MN 55431-3100
Mailing Address3510 120th St WRosemount, MN 55068-3501 · (952) 215-7419
Phone(952) 215-7419
Organization SubpartNo
Authorized OfficialBennett IsabellaCeo · (952) 215-7419
Enumeration DateJune 15, 2016
✔ NPI 1124478607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in MN · D12540
9801 DUPONT AVE S, Bloomington, MN 55431
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 19

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

LAURA GUNDALE PA-C
Physician Assistant
9801 DUPONT AVE S, 425
BLOOMINGTON, MN 55431
Hennepin County (952) 888-5800
DR. MARK BUBOLTZ O.D.
Optometrist (Corneal and Contact Management)
9801 DUPONT AVE S, SUITE 200
BLOOMINGTON, MN 55431
Hennepin County (952) 888-5800
MINNESOTA EYE CONSULTANTS, PA
Optometrist
9801 DUPONT AVE S, SUITE 425
BLOOMINGTON, MN 55431
Hennepin County (952) 567-6092
JILL SUZANNE MELICHER LARSON MD
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
9801 DUPONT AVE S, 200
BLOOMINGTON, MN 55431
Hennepin County (952) 888-5800
KRISTEN MARIE ASHWELL
Audiologist-Hearing Aid Fitter
9801 DUPONT AVE S, SUITE 200
BLOOMINGTON, MN 55431
Hennepin County (952) 888-5800
SCOTT G HAUSWIRTH OD
Optometrist (Corneal and Contact Management)
9801 DUPONT AVE S, SUITE 200
BLOOMINGTON, MN 55431
Hennepin County (952) 888-5800
DR. JOHNNA D HOBBS OD
Optometrist (Corneal and Contact Management)
9801 DUPONT AVE S, SUITE 200
BLOOMINGTON, MN 55431
Hennepin County (952) 888-5800
NOUMIA CLOUTIER-GILL OD
Optometrist (Corneal and Contact Management)
9801 DUPONT AVE S, SUITE 425
BLOOMINGTON, MN 55431
Hennepin County (952) 888-5800

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 Minnesota Dental Surgery PLLC's NPI number?

The NPI number for Minnesota Dental Surgery PLLC is 1124478607. It was assigned to this organization in the NPPES registry on June 15, 2016.

Where is Minnesota Dental Surgery PLLC located?

Minnesota Dental Surgery PLLC is located at 9801 Dupont Ave S, Bloomington, MN 55431. The listed phone number is (952) 215-7419.

What is Minnesota Dental Surgery PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Minnesota Dental Surgery PLLC accept?

Health plans from UnitedHealthcare list Minnesota Dental Surgery PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Minnesota Dental Surgery PLLC was last updated on June 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.