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MONTEVIDEO FAMILY DENTISTRY PA
NPI 1194801910
Dentist - General Practice in Montevideo, MN

Active since October 27, 2006
629 LEGION DR STE 2, MONTEVIDEO, MN 56265(320) 269-6416(320) 269-8136 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Montevideo Family Dentistry Pa NPPES

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

MONTEVIDEO FAMILY DENTISTRY PA (NPI 1194801910) is a healthcare organization registered as a general practice in Montevideo, Minnesota and active in the NPI registry since October 2006. The organization lists James Kevin Zenk, President Montevideo Family Dentist, as its authorized official.

NPPES Registry Identity

NPI1194801910
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMONTEVIDEO FAMILY DENTISTRY PA
Location Address629 LEGION DR STE 2Montevideo, MN 56265-1729
Mailing Address629 Legion Dr Ste 2Montevideo, MN 56265-1729 · (320) 269-6416 · Fax (320) 269-8136
Phone(320) 269-6416
Fax(320) 269-8136
Organization SubpartNo
Authorized OfficialJames Kevin ZenkPresident Montevideo Family Dentist · (320) 269-6416
Enumeration DateOctober 27, 2006
Last NPPES UpdateSeptember 17, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1194801910 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.
629 LEGION DR STE 2, Montevideo, MN 56265
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Other Identifiers 1

Medicaid657524200MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. ASHLEY DIRKSEN DDS
Dentist (General Practice)
629 LEGION DR STE 2
MONTEVIDEO, MN 56265
Chippewa County (320) 269-6416
FISCHER LASER EYE CENTER LLC
Optometrist
629 LEGION DR STE 2
MONTEVIDEO, MN 56265
Chippewa County (320) 321-1611

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 Montevideo Family Dentistry PA's NPI number?

The NPI number for Montevideo Family Dentistry PA is 1194801910. It was assigned to this organization in the NPPES registry on October 27, 2006.

Where is Montevideo Family Dentistry PA located?

Montevideo Family Dentistry PA is located at 629 Legion Dr Ste 2, Montevideo, MN 56265. The listed phone number is (320) 269-6416.

What is Montevideo Family Dentistry PA'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 Montevideo Family Dentistry PA was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.