EAGAN SMILES DENTISTRY
NPI 1184093551
Dentist - General Practice in Eagan, MN

Q: What is Eagan Smiles Dentistry, PC's NPI number?

The NPI number for Eagan Smiles Dentistry, PC is 1184093551. It was assigned to this organization in the NPPES registry on September 16, 2015. The provider is doing business as Eagan Smiles Dentistry.

Q: What is Eagan Smiles Dentistry, PC's specialty?

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

Active since September 16, 2015

3405 PROMENADE AVE, SUITE 300, EAGAN, MN 55123(651) 236-7458(651) 405-6995 Get Directions Write a Review

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

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About Eagan Smiles Dentistry NPPES

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

EAGAN SMILES DENTISTRY (NPI 1184093551) is a healthcare organization registered as a general practice in Eagan, Minnesota and active in the NPI registry since September 2015. The organization lists Paul S Gebhart, Owner, as its authorized official.

NPPES Registry Identity

NPI1184093551

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameEAGAN SMILES DENTISTRY, PC

Location Address3405 PROMENADE AVE, SUITE 300Eagan, MN 55123-4404

Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8890 · Fax (949) 474-1495

Phone(651) 236-7458

Fax(651) 405-6995

Organization SubpartNo

Authorized OfficialPaul S GebhartOwner · (651) 236-7458

Enumeration DateSeptember 16, 2015

✔ NPI 1184093551 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.

3405 PROMENADE AVE, Eagan, MN 55123

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Other Names 1

Doing Business AsEagan Smiles Dentistry

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

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 Eagan Smiles Dentistry, PC's NPI number?

The NPI number for Eagan Smiles Dentistry, PC is 1184093551. It was assigned to this organization in the NPPES registry on September 16, 2015. The provider is doing business as Eagan Smiles Dentistry.

Where is Eagan Smiles Dentistry, PC located?

Eagan Smiles Dentistry, PC is located at 3405 Promenade Ave Suite 300, Eagan, MN 55123. The listed phone number is (651) 236-7458.

What is Eagan Smiles Dentistry, 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 Eagan Smiles Dentistry, PC was last updated on September 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.