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RIVER CITY DENTAL, LLC
NPI 1356411417
Dentist - General Practice in Saint Cloud, MN

Active since November 08, 2006
1201 MAINE PRAIRIE RD, SAINT CLOUD, MN 56301(320) 252-6233(320) 252-9261 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About River City Dental, Llc NPPES

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

RIVER CITY DENTAL, LLC (NPI 1356411417) is a healthcare organization registered as a general practice in Saint Cloud, Minnesota and active in the NPI registry since November 2006. The organization lists Dedric Mcbroom, Owner, as its authorized official.

NPPES Registry Identity

NPI1356411417
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRIVER CITY DENTAL, LLC
Location Address1201 MAINE PRAIRIE RDSaint Cloud, MN 56301-4881
Mailing AddressPo Box 280Saint Cloud, MN 56302-0280 · (320) 252-6233 · Fax (320) 252-9261
Phone(320) 252-6233
Fax(320) 252-9261
Organization SubpartNo
Authorized OfficialDedric McbroomOwner · (320) 252-6233
Enumeration DateNovember 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1356411417 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.
1201 MAINE PRAIRIE RD, Saint Cloud, MN 56301
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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

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.

DR. AARON DANIEL IMDIEKE D.D.S.
Dentist (General Practice)
1201 MAINE PRAIRIE RD
SAINT CLOUD, MN 56301
Stearns County (320) 252-6233
DR. DEDRIC ROLF MCBROOM D.D.S.
Dentist (General Practice)
1201 MAINE PRAIRIE RD
SAINT CLOUD, MN 56301
Stearns County (320) 252-6233

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 River City Dental, LLC's NPI number?

The NPI number for River City Dental, LLC is 1356411417. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is River City Dental, LLC located?

River City Dental, LLC is located at 1201 Maine Prairie Rd, Saint Cloud, MN 56301. The listed phone number is (320) 252-6233.

What is River City Dental, LLC'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 River City Dental, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.