GROVELAND DENTAL P.A.
NPI 1306130430
Clinic/Center - Dental in Saint Paul, MN

Active since June 07, 2011
2042 SAINT CLAIR AVE, SAINT PAUL, MN 55105(651) 298-0024(651) 695-2333 Get Directions Write a Review

NPPES record last updated: June 7, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Groveland Dental P.a. NPPES

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

GROVELAND DENTAL P.A. (NPI 1306130430) is a healthcare organization registered as a dental in Saint Paul, Minnesota and active in the NPI registry since June 2011. The organization lists Matthew Colaizy, President, as its authorized official.

NPPES Registry Identity

NPI1306130430
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGROVELAND DENTAL P.A.
Location Address2042 SAINT CLAIR AVESaint Paul, MN 55105-1650
Mailing Address2042 Saint Clair AveSaint Paul, MN 55105-1650 · (651) 298-0024 · Fax (651) 695-2333
Fax(651) 695-2333
Organization SubpartNo
Authorized OfficialMatthew ColaizyPresident · (651) 298-0024
Enumeration DateJune 7, 2011
NPI 1306130430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in MN · 11657
2042 SAINT CLAIR AVE, Saint Paul, MN 55105

Other Providers at the Same Location NPPES

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

Dentist
2042 SAINT CLAIR AVE
SAINT PAUL, MN 55105

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 Groveland Dental P.A.'s NPI number?

The NPI number for Groveland Dental P.A. is 1306130430. It was assigned to this organization in the NPPES registry on June 7, 2011.

Where is Groveland Dental P.A. located?

Groveland Dental P.A. is located at 2042 Saint Clair Ave, Saint Paul, MN 55105. The listed phone number is (651) 298-0024.

What is Groveland Dental P.A.'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 Groveland Dental P.A. was last updated on June 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.