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STILLWATER DENTISTRY PLLC
NPI 1154830602
Dentist - General Practice in West St Paul, MN

Active since September 28, 2017
1963 ROBERT ST S STE 100, WEST ST PAUL, MN 55118(651) 321-1007 Get Directions Write a Review

NPPES record last updated: September 28, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stillwater Dentistry Pllc NPPES

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

STILLWATER DENTISTRY PLLC (NPI 1154830602) is a healthcare organization registered as a general practice in West St Paul, Minnesota and active in the NPI registry since September 2017. The organization lists Hassan Ismail, Owner, as its authorized official.

NPPES Registry Identity

NPI1154830602
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSTILLWATER DENTISTRY PLLC
Location Address1963 ROBERT ST S STE 100West St Paul, MN 55118-3942
Mailing AddressPo Box 3189Syracuse, NY 13220-3189 · (315) 454-6000
Phone(651) 321-1007
Organization SubpartNo
Authorized OfficialHassan IsmailOwner · (651) 321-1007
Enumeration DateSeptember 28, 2017
✔ NPI 1154830602 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.
1963 ROBERT ST S STE 100, West St Paul, MN 55118
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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.

DARIA ALEKSEYEVNA GRISHINA DDS
Dentist (General Practice)
1963 ROBERT ST S STE 100
SAINT PAUL, MN 55118
Dakota County (651) 724-9689

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 Stillwater Dentistry PLLC's NPI number?

The NPI number for Stillwater Dentistry PLLC is 1154830602. It was assigned to this organization in the NPPES registry on September 28, 2017.

Where is Stillwater Dentistry PLLC located?

Stillwater Dentistry PLLC is located at 1963 Robert St S Ste 100, West St Paul, MN 55118. The listed phone number is (651) 321-1007.

What is Stillwater Dentistry PLLC'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 Stillwater Dentistry PLLC was last updated on September 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.