CENTRAL MN PEDIATRIC DENTISTS PA
NPI 1144267063
Dentist - Pediatric Dentistry in St Cloud, MN

Active since May 31, 2006
1900 CENTRACARE CIRCLE, STE 0350, ST CLOUD, MN 56303(320) 253-0272(320) 251-2661 Get Directions Write a Review

NPPES record last updated: June 18, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Central Mn Pediatric Dentists Pa NPPES

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

CENTRAL MN PEDIATRIC DENTISTS PA (NPI 1144267063) is a healthcare organization registered as a pediatric dentistry in St Cloud, Minnesota and active in the NPI registry since May 2006. The organization lists Joseph Hall Wenner, President, as its authorized official.

NPPES Registry Identity

NPI1144267063
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCENTRAL MN PEDIATRIC DENTISTS PA
Location Address1900 CENTRACARE CIRCLE, STE 0350St Cloud, MN 56303-5000
Mailing Address1900 Centracare Circle, Ste 0350St Cloud, MN 56303-5000 · (320) 253-0272 · Fax (320) 251-2661
Fax(320) 251-2661
Organization SubpartNo
Authorized OfficialJoseph Hall WennerPresident · (320) 253-0272
Enumeration DateMay 31, 2006
Last NPPES UpdateJune 18, 2013
NPI 1144267063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1900 CENTRACARE CIRCLE, St Cloud, MN 56303

Other Identifiers 2

Medicaid678350300MN
Other55520WEMN · Bcbs

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 20

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

Pediatrics
1900 CENTRACARE CIRCLE, CENTRACARE CLINIC WOMENS & CHILDRENS
ST CLOUD, MN 56303
Pharmacy (Community/Retail Pharmacy)
1900 CENTRACARE CIRCLE, SUITE 1350
ST CLOUD, MN 56303
Psychologist (Clinical)
1900 CENTRACARE CIRCLE, CENTRACARE HEALTH PLAZA
ST CLOUD, MN 56303
Obstetrics & Gynecology
1900 CENTRACARE CIRCLE
ST CLOUD, MN 56303
Dermatology
1900 CENTRACARE CIRCLE, CENTRACARE CLINIC- HEALTH PLAZA SPECIALTIES
ST CLOUD, MN 56303
Family Medicine
1900 CENTRACARE CIRCLE
ST CLOUD, MN 56303
Speech-Language Pathologist
1900 CENTRACARE CIRCLE
ST. CLOUD, MN 56303
Obstetrics & Gynecology
1900 CENTRACARE CIRCLE, CENTRACARE CLINIC WOMENS & CHILDRENS
ST CLOUD, MN 56303

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 Central Mn Pediatric Dentists PA's NPI number?

The NPI number for Central Mn Pediatric Dentists PA is 1144267063. It was assigned to this organization in the NPPES registry on May 31, 2006.

Where is Central Mn Pediatric Dentists PA located?

Central Mn Pediatric Dentists PA is located at 1900 Centracare Circle Ste 0350, St Cloud, MN 56303. The listed phone number is (320) 253-0272.

What is Central Mn Pediatric Dentists PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Central Mn Pediatric Dentists PA was last updated on June 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.