FIRST AVENUE DENTAL PLLC
NPI 1336831445
Dentist - General Practice in Little Falls, MN

Active since May 25, 2023
74 1ST AVE SE, LITTLE FALLS, MN 56345(320) 241-6927 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About First Avenue Dental Pllc NPPES

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

FIRST AVENUE DENTAL PLLC (NPI 1336831445) is a healthcare organization registered as a general practice in Little Falls, Minnesota and active in the NPI registry since May 2023. The organization lists Zachary Steven Conklin, Owner, as its authorized official.

NPPES Registry Identity

NPI1336831445
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFIRST AVENUE DENTAL PLLC
Location Address74 1ST AVE SELittle Falls, MN 56345-3042
Mailing Address720 Roberts Rd Apt 310Sartell, MN 56377-3403 · (320) 241-6927
Organization SubpartNo
Authorized OfficialZachary Steven ConklinOwner · (320) 241-6927
Enumeration DateMay 25, 2023
NPPES CertifiedMay 25, 2023
NPI 1336831445 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.
74 1ST AVE SE, Little Falls, MN 56345

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 4

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

Dentist (General Practice)
74 1ST AVE SE
LITTLE FALLS, MN 56345
Clinic/Center (Dental)
74 1ST AVE SE
LITTLE FALLS, MN 56345
Dentist (General Practice)
74 1ST AVE SE
LITTLE FALLS, MN 56345
Dentist (General Practice)
74 1ST AVE SE
LITTLE FALLS, MN 56345

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 First Avenue Dental PLLC's NPI number?

The NPI number for First Avenue Dental PLLC is 1336831445. It was assigned to this organization in the NPPES registry on May 25, 2023.

Where is First Avenue Dental PLLC located?

First Avenue Dental PLLC is located at 74 1st Ave SE, Little Falls, MN 56345. The listed phone number is (320) 241-6927.

What is First Avenue Dental 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 First Avenue Dental PLLC was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.