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PENN AVENUE FAMILY DENTAL
NPI 1376648402
Dentist - General Practice in Minneapolis, MN

Active since September 13, 2006
5346 PENN AVE S, MINNEAPOLIS, MN 55419(612) 922-0894(612) 922-1352 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Penn Avenue Family Dental NPPES

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

PENN AVENUE FAMILY DENTAL (NPI 1376648402) is a healthcare organization registered as a general practice in Minneapolis, Minnesota and active in the NPI registry since September 2006. The organization lists Robert G Mcnab, Owner, as its authorized official.

NPPES Registry Identity

NPI1376648402
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePENN AVENUE FAMILY DENTAL
Location Address5346 PENN AVE SMinneapolis, MN 55419-1065
Mailing Address5346 Penn Ave SMinneapolis, MN 55419-1065 · (612) 922-0894 · Fax (612) 922-1352
Phone(612) 922-0894
Fax(612) 922-1352
Organization SubpartNo
Authorized OfficialRobert G McnabOwner · (612) 922-0894
Enumeration DateSeptember 13, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1376648402 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 · 9220
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.
5346 PENN AVE S, Minneapolis, MN 55419
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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. FREDRICK ALLIS D.D.S.
Dentist (General Practice)
5346 PENN AVE S
MINNEAPOLIS, MN 55419
Hennepin County (612) 922-0894
DR. ROBERT GEORGE MCNAB D.D.S.
Dentist (General Practice)
5346 PENN AVE S
MINNEAPOLIS, MN 55419
Hennepin County (612) 922-0894

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 Penn Avenue Family Dental's NPI number?

The NPI number for Penn Avenue Family Dental is 1376648402. It was assigned to this organization in the NPPES registry on September 13, 2006.

Where is Penn Avenue Family Dental located?

Penn Avenue Family Dental is located at 5346 Penn Ave S, Minneapolis, MN 55419. The listed phone number is (612) 922-0894.

What is Penn Avenue Family Dental'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 Penn Avenue Family Dental 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.