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PROSTHODONTIC ASSOCIATES, PLLC
NPI 1164956694
Clinic/Center - Dental in Roseville, MN

Active since April 11, 2017
2233 HAMLINE AVE N, SUITE 210, ROSEVILLE, MN 55113(651) 633-4914(651) 633-5126 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Prosthodontic Associates, Pllc NPPES

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

PROSTHODONTIC ASSOCIATES, PLLC (NPI 1164956694) is a healthcare organization registered as a dental in Roseville, Minnesota and active in the NPI registry since April 2017. The organization lists Jason Chong, Partner, as its authorized official.

NPPES Registry Identity

NPI1164956694
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePROSTHODONTIC ASSOCIATES, PLLC
Location Address2233 HAMLINE AVE N, SUITE 210Roseville, MN 55113-5009
Mailing Address2233 Hamline Ave N, Suite 210Roseville, MN 55113-5009 · (651) 633-4914 · Fax (651) 633-5126
Phone(651) 633-4914
Fax(651) 633-5126
Organization SubpartNo
Authorized OfficialJason ChongPartner · (651) 633-4914
Enumeration DateApril 11, 2017
✔ NPI 1164956694 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 · D12653
2233 HAMLINE AVE N, Roseville, MN 55113
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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.

STAT DENTAL, INC
Clinic/Center (Dental)
2233 HAMLINE AVE N, SUITE 432
ROSEVILLE, MN 55113
Ramsey County (651) 778-9911
DR. DOUGLAS KENNETH KEIM, D.D.S.
Dentist (General Practice)
2233 HAMLINE AVE N, SUITE 210
ROSEVILLE, MN 55113
Ramsey County (651) 631-2944
MICHAEL WARREN GEISER DDS
Dentist (Endodontics)
2233 HAMLINE AVE N, SUITE 111
ROSEVILLE, MN 55113
Ramsey County (651) 633-5087
SHARON R FRIES M.A., L.M.F.T.
Marriage & Family Therapist
2233 HAMLINE AVE N, SUITE 609
ROSEVILLE, MN 55113
Ramsey County (651) 230-0492
DR. TEODORA NIKOLAEVA BAYLON D.D.S.
Dentist
2233 HAMLINE AVE N
ROSEVILLE, MN 55113
Ramsey County (651) 636-0655
SAMANTHA HINDERKS
Counselor (Professional)
2233 HAMLINE AVE N, SUITE 411
ROSEVILLE, MN 55113
Ramsey County (651) 208-7753
ASSOCIATED RESOURCES IN PSYCHOLOGY, PA
Psychologist (Counseling)
2233 HAMLINE AVE N, SUITE 110
ROSEVILLE, MN 55113
Ramsey County (651) 483-2522
DR. JERRY WAYNE SHERWOOD DDS
Dentist (General Practice)
2233 HAMLINE AVE N, SUITE 416
ROSEVILLE, MN 55113
Ramsey County (651) 631-3038

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 Prosthodontic Associates, PLLC's NPI number?

The NPI number for Prosthodontic Associates, PLLC is 1164956694. It was assigned to this organization in the NPPES registry on April 11, 2017.

Where is Prosthodontic Associates, PLLC located?

Prosthodontic Associates, PLLC is located at 2233 Hamline Ave N Suite 210, Roseville, MN 55113. The listed phone number is (651) 633-4914.

What is Prosthodontic Associates, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Prosthodontic Associates, PLLC was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.