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CLD - COON RAPIDS MN, LLC
NPI 1366136269
Clinic/Center - Dental in Coon Rapids, MN

Active since June 05, 2023
3790 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433(763) 200-5280 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cld - Coon Rapids Mn, Llc NPPES

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

CLD - COON RAPIDS MN, LLC (NPI 1366136269) is a healthcare organization registered as a dental in Coon Rapids, Minnesota and active in the NPI registry since June 2023. The organization lists David Park, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1366136269
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCLD - COON RAPIDS MN, LLC
Location Address3790 COON RAPIDS BLVD NWCoon Rapids, MN 55433-2629
Mailing Address3790 Coon Rapids Blvd NwCoon Rapids, MN 55433-2629
Phone(763) 200-5280
Organization SubpartNo
Authorized OfficialDavid ParkCeo/owner · (651) 444-9644
Enumeration DateJune 5, 2023
NPPES CertifiedJune 5, 2023
✔ NPI 1366136269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3790 COON RAPIDS BLVD NW, Coon Rapids, MN 55433
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Other Providers at the Same Location NPPES 5

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

KATELYN SOPHIA LOWERY DDS
Dentist (General Practice)
3790 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 200-5280
NATHALIA DIAZ DDS
Dentist
3790 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 341-9285
DR. ALFRED OSCAR STELDT M.D.
Ophthalmology
3790 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 421-7420
NORTH SUBURBAN EYE SPECIALISTS, LLP
Ophthalmology
3790 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 421-7420
ALMOND DOMINIQUE APOLONIO LEGASPI DDS
Dentist (General Practice)
3790 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 341-9285

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 Cld - Coon Rapids Mn, LLC's NPI number?

The NPI number for Cld - Coon Rapids Mn, LLC is 1366136269. It was assigned to this organization in the NPPES registry on June 5, 2023.

Where is Cld - Coon Rapids Mn, LLC located?

Cld - Coon Rapids Mn, LLC is located at 3790 Coon Rapids Blvd NW, Coon Rapids, MN 55433. The listed phone number is (763) 200-5280.

What is Cld - Coon Rapids Mn, LLC'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 Cld - Coon Rapids Mn, LLC was last updated on June 5, 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.