SUMMIT DENTAL P.A.
NPI 1295907202
Dentist - General Practice in Coon Rapids, MN

Active since March 31, 2008
10756 BUTTERNUT ST NW, COON RAPIDS, MN 55448(763) 757-4170(763) 757-7940 Get Directions Write a Review

NPPES record last updated: March 31, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Summit Dental P.a. NPPES

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

SUMMIT DENTAL P.A. (NPI 1295907202) is a healthcare organization registered as a general practice in Coon Rapids, Minnesota and active in the NPI registry since March 2008. The organization lists Erik William Marksberry, Owner, as its authorized official.

NPPES Registry Identity

NPI1295907202
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSUMMIT DENTAL P.A.
Location Address10756 BUTTERNUT ST NWCoon Rapids, MN 55448-4448
Mailing Address10756 Butternut St NwCoon Rapids, MN 55448-4448 · (763) 757-4170 · Fax (763) 757-7940
Fax(763) 757-7940
Organization SubpartNo
Authorized OfficialErik William MarksberryOwner · (763) 757-4170
Enumeration DateMarch 31, 2008
NPI 1295907202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MN · D11789
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.
10756 BUTTERNUT ST NW, Coon Rapids, MN 55448

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

Dentist (General Practice)
10756 BUTTERNUT ST NW
COON RAPIDS, MN 55448
Dental Therapist
10756 BUTTERNUT ST NW
COON RAPIDS, MN 55448

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 Summit Dental P.A.'s NPI number?

The NPI number for Summit Dental P.A. is 1295907202. It was assigned to this organization in the NPPES registry on March 31, 2008.

Where is Summit Dental P.A. located?

Summit Dental P.A. is located at 10756 Butternut St NW, Coon Rapids, MN 55448. The listed phone number is (763) 757-4170.

What is Summit Dental P.A.'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 Summit Dental P.A. was last updated on March 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.