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FAMILY AND COSMETIC GENTLE DENTISTRY
NPI 1164803177
Dentist - General Practice in Wayzata, MN

Active since June 16, 2015
1421 WAYZATA BLVD, SUITE 320, WAYZATA, MN 55391(952) 224-9774(952) 224-9791 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family And Cosmetic Gentle Dentistry NPPES

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

FAMILY AND COSMETIC GENTLE DENTISTRY (NPI 1164803177) is a healthcare organization registered as a general practice in Wayzata, Minnesota and active in the NPI registry since June 2015. The organization lists Robert Luther Bodin, Dentist, as its authorized official.

NPPES Registry Identity

NPI1164803177
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFAMILY AND COSMETIC GENTLE DENTISTRY
Location Address1421 WAYZATA BLVD, SUITE 320Wayzata, MN 55391-1939
Mailing Address4100 Shoreline Dr, Suite 4Spring Park, MN 55384-4508 · (952) 224-9774 · Fax (952) 224-9791
Phone(952) 224-9774
Fax(952) 224-9791
Organization SubpartNo
Authorized OfficialRobert Luther BodinDentist · (952) 224-9774
Enumeration DateJune 16, 2015
✔ NPI 1164803177 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.
1421 WAYZATA BLVD, Wayzata, MN 55391
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Other Identifiers 1

Medicaid1952399685MN

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 SINGLE SPECIALTY GROUP

Accepted Insurance

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

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.

RX ARTISANS, INC.
Pharmacy (Compounding Pharmacy)
1421 WAYZATA BLVD, SUITE 201
WAYZATA, MN 55391
Hennepin County (952) 249-9726
MR. DARIN OSMUNDSON
Massage Therapist
1421 WAYZATA BLVD, SUITE 61
WAYZATA, MN 55391
Hennepin County (952) 473-9637
ELIZABETH DESHLER
Massage Therapist
1421 WAYZATA BLVD, SUITE 100
WAYZATA, MN 55391
Hennepin County (952) 473-9637
VALERIE LAWSON
Massage Therapist
1421 WAYZATA BLVD, SUITE 100
WAYZATA, MN 55391
Hennepin County (952) 473-9637
DR. JAMES ROGER MCGILL D.D.S.
Dentist (General Practice)
1421 WAYZATA BLVD, SUITE 300
WAYZATA, MN 55391
Hennepin County (952) 473-1521
DR. RYAN A ELTON DC
Chiropractor
1421 WAYZATA BLVD, SUITE 100
WAYZATA, MN 55391
Hennepin County (952) 473-9637
PATRICK WENK
Massage Therapist
1421 WAYZATA BLVD
WAYZATA, MN 55391
Hennepin County (952) 473-9637
THE BROST CLINIC, PA
Chiropractor
1421 WAYZATA BLVD, SUITE 61
WAYZATA, MN 55391
Hennepin County (952) 473-9637

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 Family And Cosmetic Gentle Dentistry's NPI number?

The NPI number for Family And Cosmetic Gentle Dentistry is 1164803177. It was assigned to this organization in the NPPES registry on June 16, 2015.

Where is Family And Cosmetic Gentle Dentistry located?

Family And Cosmetic Gentle Dentistry is located at 1421 Wayzata Blvd Suite 320, Wayzata, MN 55391. The listed phone number is (952) 224-9774.

What is Family And Cosmetic Gentle Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Family And Cosmetic Gentle Dentistry accept?

Health plans from Humana and UnitedHealthcare list Family And Cosmetic Gentle Dentistry 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 Family And Cosmetic Gentle Dentistry was last updated on June 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.