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GROVE DENTIST PA
NPI 1326481284
Dentist - General Practice in Maple Grove, MN

Active since April 10, 2013
13649 GROVE DR, MAPLE GROVE, MN 55311(763) 420-8038(763) 494-4222 Get Directions Write a Review

NPPES record last updated: April 10, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Grove Dentist Pa NPPES

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

GROVE DENTIST PA (NPI 1326481284) is a healthcare organization registered as a general practice in Maple Grove, Minnesota and active in the NPI registry since April 2013. The organization lists Reny Chacko, Dentist, as its authorized official.

NPPES Registry Identity

NPI1326481284
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGROVE DENTIST PA
Location Address13649 GROVE DRMaple Grove, MN 55311-4405
Mailing Address13649 Grove DrMaple Grove, MN 55311-4405 · (763) 420-8038 · Fax (763) 494-4222
Phone(763) 420-8038
Fax(763) 494-4222
Organization SubpartNo
Authorized OfficialReny ChackoDentist · (651) 308-2804
Enumeration DateApril 10, 2013
✔ NPI 1326481284 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 · D11844
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.
13649 GROVE DR, Maple Grove, MN 55311
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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

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 Grove Dentist PA's NPI number?

The NPI number for Grove Dentist PA is 1326481284. It was assigned to this organization in the NPPES registry on April 10, 2013.

Where is Grove Dentist PA located?

Grove Dentist PA is located at 13649 Grove Dr, Maple Grove, MN 55311. The listed phone number is (763) 420-8038.

What is Grove Dentist PA'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 Grove Dentist PA was last updated on April 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.