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METROPOLITAN PEDIATRIC DENTAL ASSOCIATES, LTD
NPI 1245389246
Dentist - Pediatric Dentistry in Saint Paul, MN

Active since January 09, 2007
1021 BANDANA BLVD E, SUITE 121, SAINT PAUL, MN 55108(651) 224-4969(651) 223-8047 Get Directions Write a Review

NPPES record last updated: May 14, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Metropolitan Pediatric Dental Associates, Ltd NPPES

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

METROPOLITAN PEDIATRIC DENTAL ASSOCIATES, LTD (NPI 1245389246) is a healthcare organization registered as a pediatric dentistry in Saint Paul, Minnesota and active in the NPI registry since January 2007. The organization lists James D Nickman, President, as its authorized official.

NPPES Registry Identity

NPI1245389246
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMETROPOLITAN PEDIATRIC DENTAL ASSOCIATES, LTD
Location Address1021 BANDANA BLVD E, SUITE 121Saint Paul, MN 55108-5113
Mailing Address1021 Bandana Blvd E, Suite 121Saint Paul, MN 55108-5113 · (651) 224-4969 · Fax (651) 223-8047
Phone(651) 224-4969
Fax(651) 223-8047
Organization SubpartYes
Authorized OfficialJames D NickmanPresident · (651) 224-4969
Enumeration DateJanuary 9, 2007
Last NPPES UpdateMay 14, 2015
✔ NPI 1245389246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1021 BANDANA BLVD E, Saint Paul, MN 55108
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Other Identifiers 1

Medicaid518322700MN

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 20

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

ALLINA HEALTH SYSTEM
Family Medicine
1021 BANDANA BLVD E, STE 100
ST PAUL, MN 55108
Ramsey County (651) 241-9700
RACHEL JO SCHULTZ
Physician Assistant
1021 BANDANA BLVD E
SAINT PAUL, MN 55108
Ramsey County (651) 241-9700
MRS. SUZANNE HELENE SACKETT PA-C, MHS
Physician Assistant
1021 BANDANA BLVD E, SUITE 100
SAINT PAUL, MN 55108
Ramsey County (651) 241-9700
LAURA A MELMS DNP
Nurse Practitioner (Family)
1021 BANDANA BLVD E
SAINT PAUL, MN 55108
Ramsey County (651) 241-9700
TERESA KIRESUK NP
Nurse Practitioner (Gerontology)
1021 BANDANA BLVD E, SUITE 200
SAINT PAUL, MN 55108
Ramsey County (651) 637-2960
DR. TAIWO ADEBOLA LAWAL M.D., M.P.H., FACP
Internal Medicine
1021 BANDANA BLVD E, STE 100
SAINT PAUL, MN 55108
Ramsey County (651) 241-9700
KIMBERLEY MULLIN PA-C
Physician Assistant
1021 BANDANA BLVD E, SUITE 100
SAINT PAUL, MN 55108
Ramsey County (651) 241-9700
MICHAEL H FLAMENBAUM DMD
Dentist (Pediatric Dentistry)
1021 BANDANA BLVD E, SUITE 121
SAINT PAUL, MN 55108
Ramsey County (651) 224-4969

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 Metropolitan Pediatric Dental Associates, Ltd's NPI number?

The NPI number for Metropolitan Pediatric Dental Associates, Ltd is 1245389246. It was assigned to this organization in the NPPES registry on January 9, 2007.

Where is Metropolitan Pediatric Dental Associates, Ltd located?

Metropolitan Pediatric Dental Associates, Ltd is located at 1021 Bandana Blvd E Suite 121, Saint Paul, MN 55108. The listed phone number is (651) 224-4969.

What is Metropolitan Pediatric Dental Associates, Ltd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Metropolitan Pediatric Dental Associates, Ltd was last updated on May 14, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.