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ADVANCED DENTAL GROUP
NPI 1184046385
Dentist - General Practice in Minneapolis, MN

Active since January 08, 2014
3909 SILVER LAKE RD NE, MINNEAPOLIS, MN 55421(612) 789-3573 Get Directions Write a Review

NPPES record last updated: January 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Dental Group NPPES

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

ADVANCED DENTAL GROUP (NPI 1184046385) is a healthcare organization registered as a general practice in Minneapolis, Minnesota and active in the NPI registry since January 2014. The organization lists Rebecca M Kipp, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1184046385
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMARK CHARLES WALLACE, DDS, PC
Location Address3909 SILVER LAKE RD NEMinneapolis, MN 55421-4352
Mailing Address3909 Silver Lake Rd NeMinneapolis, MN 55421-4352 · (612) 789-3573
Phone(612) 789-3573
Organization SubpartNo
Authorized OfficialRebecca M KippOffice Manager · (612) 789-3573
Enumeration DateJanuary 8, 2014
✔ NPI 1184046385 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.
3909 SILVER LAKE RD NE, Minneapolis, MN 55421
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Other Names 1

Doing Business AsAdvanced Dental Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

DR. JOHN DAVID STEEN DDS
Dentist (General Practice)
3909 SILVER LAKE RD NE
MINNEAPOLIS, MN 55421
Anoka County (612) 789-3573
DR. RAYMOND HELLICKSON DDS
Dentist (General Practice)
3909 SILVER LAKE RD NE
MINNEAPOLIS, MN 55421
Anoka County (612) 789-3573
ADVANCED DENTAL GROUP
Dentist (General Practice)
3909 SILVER LAKE RD NE
MINNEAPOLIS, MN 55421
Anoka County (612) 789-3573
DR. GLENN I LEPOR DDS
Dentist (Periodontics)
3909 SILVER LAKE RD NE
MINNEAPOLIS, MN 55421
Anoka County (612) 789-3573
DR. ANDY ALDRICH DDS
Dentist (General Practice)
3909 SILVER LAKE RD NE
MINNEAPOLIS, MN 55421
Anoka County (612) 789-3573
DR. RICHARD JOHN SINN DMD
Dentist (General Practice)
3909 SILVER LAKE RD NE
MINNEAPOLIS, MN 55421
Anoka County (612) 789-3573
MODERN DENTAL PROFESSIONALS, MN PC
Dentist (General Practice)
3909 SILVER LAKE RD NE
MINNEAPOLIS, MN 55421
Anoka County (612) 789-3573
DR. HOWARD W TAYLOR
Dentist (General Practice)
3909 SILVER LAKE RD NE
MINNEAPOLIS, MN 55421
Anoka County (612) 789-3573

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 Mark Charles Wallace, Dds, PC's NPI number?

The NPI number for Mark Charles Wallace, Dds, PC is 1184046385. It was assigned to this organization in the NPPES registry on January 8, 2014. The provider is doing business as Advanced Dental Group.

Where is Mark Charles Wallace, Dds, PC located?

Mark Charles Wallace, Dds, PC is located at 3909 Silver Lake Rd NE, Minneapolis, MN 55421. The listed phone number is (612) 789-3573.

What is Mark Charles Wallace, Dds, PC'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 Mark Charles Wallace, Dds, PC was last updated on January 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.