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KYLE NOVOTNY DDS PLLC
NPI 1255044723
Dentist - General Practice in Blaine, MN

Active since December 29, 2022
12265 CENTRAL AVE NE, BLAINE, MN 55434(763) 757-1323(763) 757-1037 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kyle Novotny Dds Pllc NPPES

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

KYLE NOVOTNY DDS PLLC (NPI 1255044723), doing business as Legacy Dental Care, is a healthcare organization registered as a general practice in Blaine, Minnesota and active in the NPI registry since December 2022. The organization lists Kyle Stephen Novotny, Owner, as its authorized official.

NPPES Registry Identity

NPI1255044723
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKYLE NOVOTNY DDS PLLC
Location Address12265 CENTRAL AVE NEBlaine, MN 55434-3961
Mailing Address12265 Central Ave NeBlaine, MN 55434-3961 · (763) 757-1323 · Fax (763) 757-1037
Phone(763) 757-1323
Fax(763) 757-1037
Organization SubpartNo
Authorized OfficialKyle Stephen NovotnyOwner · (763) 757-1323
Enumeration DateDecember 29, 2022
NPPES CertifiedDecember 29, 2022
✔ NPI 1255044723 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.
12265 CENTRAL AVE NE, Blaine, MN 55434
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Other Names 1

Doing Business AsLegacy Dental Care

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 7

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

MRS. NERMIN GIRGIS RIZK D.D.S.
Dentist
12265 CENTRAL AVE NE
BLAINE, MN 55434
Anoka County (763) 757-1323
DR. JOHN ADRIAN GERBER D.C.
Chiropractor (Internist)
12265 CENTRAL AVE NE, SUITE 108
BLAINE, MN 55434
Anoka County (763) 757-8511
LEGACY DENTAL CARE LLC
Dentist (General Practice)
12265 CENTRAL AVE NE
BLAINE, MN 55434
Anoka County (763) 757-1323
DR. KYLE STEPHEN NOVOTNY DDS
Dentist (General Practice)
12265 CENTRAL AVE NE
BLAINE, MN 55434
Anoka County (763) 757-1323
DR. DENNIS LEE PARVEY D.D.S
Dentist (General Practice)
12265 CENTRAL AVE NE
BLAINE, MN 55434
Anoka County (763) 757-1323
DR. DANIEL P CHAVES DC
Chiropractor
12265 CENTRAL AVE NE
BLAINE, MN 55434
Anoka County (763) 757-8511
OPEN HEART CHIROPRACTIC PA
Chiropractor
12265 CENTRAL AVE NE
BLAINE, MN 55434
Anoka County (763) 757-8511

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 Kyle Novotny Dds PLLC's NPI number?

The NPI number for Kyle Novotny Dds PLLC is 1255044723. It was assigned to this organization in the NPPES registry on December 29, 2022. The provider is doing business as Legacy Dental Care.

Where is Kyle Novotny Dds PLLC located?

Kyle Novotny Dds PLLC is located at 12265 Central Ave NE, Blaine, MN 55434. The listed phone number is (763) 757-1323.

What is Kyle Novotny Dds PLLC'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 Kyle Novotny Dds PLLC was last updated on December 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.