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JOHN D. NYDAHL, DDS, P. A.
NPI 1174547855
Clinic/Center - Dental in Saint Cloud, MN

Active since July 27, 2006
1011 2ND ST N STE 101, SAINT CLOUD, MN 56303(320) 253-0744(320) 253-9930 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John D. Nydahl, Dds, P. A. NPPES

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

JOHN D. NYDAHL, DDS, P. A. (NPI 1174547855) is a healthcare organization registered as a dental in Saint Cloud, Minnesota and active in the NPI registry since July 2006. The organization lists John D. Nydahl, President, as its authorized official.

NPPES Registry Identity

NPI1174547855
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameJOHN D. NYDAHL, DDS, P. A.
Location Address1011 2ND ST N STE 101Saint Cloud, MN 56303-3237
Mailing Address1011 2nd St N Ste 101Saint Cloud, MN 56303-3237 · (320) 253-0744 · Fax (320) 253-9930
Phone(320) 253-0744
Fax(320) 253-9930
Organization SubpartNo
Authorized OfficialJohn D. NydahlPresident · (320) 253-0744
Enumeration DateJuly 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174547855 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 · D8204
1011 2ND ST N STE 101, Saint Cloud, MN 56303
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Other Identifiers 2

Other55162NYMN · Blue Cross Blue Shield
OtherD8204MN · Delta Dental

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 John D. Nydahl, Dds, P. A.'s NPI number?

The NPI number for John D. Nydahl, Dds, P. A. is 1174547855. It was assigned to this organization in the NPPES registry on July 27, 2006.

Where is John D. Nydahl, Dds, P. A. located?

John D. Nydahl, Dds, P. A. is located at 1011 2nd St N Ste 101, Saint Cloud, MN 56303. The listed phone number is (320) 253-0744.

What is John D. Nydahl, Dds, P. A.'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 John D. Nydahl, Dds, P. A. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.