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PL DENTAL SC
NPI 1225786411
Clinic/Center - Dental in Zimmerman, MN

Active since March 16, 2022
12628 FREMONT AVE, ZIMMERMAN, MN 55398(833) 217-5959 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Pl Dental Sc NPPES

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

PL DENTAL SC (NPI 1225786411) is a healthcare organization registered as a dental in Zimmerman, Minnesota and active in the NPI registry since March 2022. The organization lists Phong Vinh Ly, Owner, as its authorized official.

NPPES Registry Identity

NPI1225786411
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePL DENTAL SC
Location Address12628 FREMONT AVEZimmerman, MN 55398-9735
Mailing Address9920 Foley Blvd Nw Ste 110Coon Rapids, MN 55433-5216 · (633) 171-1667 · Fax (763) 317-1167
Phone(833) 217-5959
Organization SubpartNo
Authorized OfficialPhong Vinh LyOwner · (763) 317-1168
Enumeration DateMarch 16, 2022
Last NPPES UpdateMay 22, 2024
NPPES CertifiedMay 22, 2024
✔ NPI 1225786411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
12628 FREMONT AVE, Zimmerman, MN 55398
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Other Identifiers 1

Medicaid1790131791MN

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. FIRDAVS Z ABZHABAROV DDS
Dentist (General Practice)
12628 FREMONT AVE
ZIMMERMAN, MN 55398
Sherburne County (763) 317-1166
DHRUTIBEN KHODABHAI PATEL DDS
Dentist
12628 FREMONT AVE
ZIMMERMAN, MN 55398
Sherburne County (833) 217-5959

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 Pl Dental Sc's NPI number?

The NPI number for Pl Dental Sc is 1225786411. It was assigned to this organization in the NPPES registry on March 16, 2022.

Where is Pl Dental Sc located?

Pl Dental Sc is located at 12628 Fremont Ave, Zimmerman, MN 55398. The listed phone number is (833) 217-5959.

What is Pl Dental Sc'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 Pl Dental Sc was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.