FOUR SEASONS DENTAL PA
NPI 1194215616
Clinic/Center - Dental in Plymouth, MN

Q: What is Four Seasons Dental PA's NPI number?

The NPI number for Four Seasons Dental PA is 1194215616. It was assigned to this organization in the NPPES registry on May 10, 2018.

Q: What is Four Seasons Dental PA's specialty?

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

Active since May 10, 2018

4205 LANCASTER LN N STE 101, PLYMOUTH, MN 55441(763) 559-2976(763) 559-4852 Get Directions Write a Review

NPPES record last updated: May 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Four Seasons Dental Pa NPPES

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

FOUR SEASONS DENTAL PA (NPI 1194215616) is a healthcare organization registered as a dental in Plymouth, Minnesota and active in the NPI registry since May 2018. The organization lists Kersten Hoffman, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1194215616

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameFOUR SEASONS DENTAL PA

Location Address4205 LANCASTER LN N STE 101Plymouth, MN 55441-1702

Mailing Address109 Bushaway Rd Ste 300Wayzata, MN 55391-2079 · (952) 475-0225

Phone(763) 559-2976

Fax(763) 559-4852

Organization SubpartNo

Authorized OfficialKersten HoffmanClinic Administrator · (952) 475-0225

Enumeration DateMay 10, 2018

✔ NPI 1194215616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

4205 LANCASTER LN N STE 101, Plymouth, MN 55441

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Other Names 1

Doing Business AsFour Seasons Dental Pa

Other Providers at the Same Location NPPES

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

RIVER RIDGE, LLC

Clinic/Center (Rehabilitation, Substance Use Disorder)

4205 LANCASTER LN N STE 101
PLYMOUTH, MN 55441

Hennepin County (952) 894-7722

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 Four Seasons Dental PA's NPI number?

The NPI number for Four Seasons Dental PA is 1194215616. It was assigned to this organization in the NPPES registry on May 10, 2018.

Where is Four Seasons Dental PA located?

Four Seasons Dental PA is located at 4205 Lancaster Ln N Ste 101, Plymouth, MN 55441. The listed phone number is (763) 559-2976.

What is Four Seasons Dental PA'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 Four Seasons Dental PA was last updated on May 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.