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MAHTOMEDI DENTAL CLINIC
NPI 1326284597
Dentist - General Practice in Mahtomedi, MN

Active since December 18, 2008
814 MAHTOMEDI AVE, MAHTOMEDI, MN 55115(651) 426-0011(651) 426-2075 Get Directions Write a Review

NPPES record last updated: December 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mahtomedi Dental Clinic NPPES

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

MAHTOMEDI DENTAL CLINIC (NPI 1326284597) is a healthcare organization registered as a general practice in Mahtomedi, Minnesota and active in the NPI registry since December 2008. The organization lists Timothy A Bray, Owner / Dentist, as its authorized official.

NPPES Registry Identity

NPI1326284597
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMAHTOMEDI DENTAL CLINIC
Location Address814 MAHTOMEDI AVEMahtomedi, MN 55115-1730
Mailing Address814 Mahtomedi AveMahtomedi, MN 55115-1730 · (651) 426-0011 · Fax (651) 426-2075
Phone(651) 426-0011
Fax(651) 426-2075
Organization SubpartYes
Authorized OfficialTimothy A BrayOwner / Dentist · (651) 426-0011
Enumeration DateDecember 18, 2008
✔ NPI 1326284597 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 · 8217
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.
814 MAHTOMEDI AVE, Mahtomedi, MN 55115
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Other Identifiers 1

Medicaid982017500MN

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

STEVEN HAGSTROM D.C.
Chiropractor
814 MAHTOMEDI AVE
MAHTOMEDI, MN 55115
Washington County (651) 426-2210
BRADLEY JOHN HAGEN
Dentist (General Practice)
814 MAHTOMEDI AVE
MAHTOMEDI, MN 55115
Washington County (651) 426-0011
MAHTOMEDI FAMILY DENTAL
Dentist (General Practice)
814 MAHTOMEDI AVE
MAHTOMEDI, MN 55115
Washington County (651) 426-0011
MAHTOMEDI DENTAL CLINIC
Dentist (General Practice)
814 MAHTOMEDI AVE, MAHTOMEDI DENTAL
MAHTOMEDI, MN 55115
Washington County (651) 426-0011

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 Mahtomedi Dental Clinic's NPI number?

The NPI number for Mahtomedi Dental Clinic is 1326284597. It was assigned to this organization in the NPPES registry on December 18, 2008.

Where is Mahtomedi Dental Clinic located?

Mahtomedi Dental Clinic is located at 814 Mahtomedi Ave, Mahtomedi, MN 55115. The listed phone number is (651) 426-0011.

What is Mahtomedi Dental Clinic'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 Mahtomedi Dental Clinic was last updated on December 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.