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36TH STREET DENTAL
NPI 1417340563
Dentist in St Louis Park, MN

Active since March 13, 2015
5806A W 36TH ST, ST LOUIS PARK, MN 55416(952) 929-5292 Get Directions Write a Review

NPPES record last updated: March 13, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About 36th Street Dental NPPES

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

36TH STREET DENTAL (NPI 1417340563) is a healthcare organization registered as a dentist in St Louis Park, Minnesota and active in the NPI registry since March 2015. The organization lists Ryan Michael Dunlavey, President, as its authorized official.

NPPES Registry Identity

NPI1417340563
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMIRACLE MILE DENTISTRY PA
Location Address5806A W 36TH STSt Louis Park, MN 55416-5108
Mailing Address5806a W 36th StSt Louis Park, MN 55416-5108 · (952) 929-5292
Phone(952) 929-5292
Organization SubpartNo
Authorized OfficialRyan Michael DunlaveyPresident · (612) 799-7525
Enumeration DateMarch 13, 2015
✔ NPI 1417340563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
5806A W 36TH ST, St Louis Park, MN 55416
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Other Names 1

Doing Business As36th Street Dental

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.

EDWARD R BICK DDS PA
Dentist
5806A W 36TH ST
ST LOUIS PARK, MN 55416
Hennepin County (952) 988-5890
DR. EDWARD ROGER BICK DDS
Dentist (General Practice)
5806A W 36TH ST
ST LOUIS PARK, MN 55416
Hennepin County (952) 988-5890

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 Miracle Mile Dentistry PA's NPI number?

The NPI number for Miracle Mile Dentistry PA is 1417340563. It was assigned to this organization in the NPPES registry on March 13, 2015. The provider is doing business as 36th Street Dental.

Where is Miracle Mile Dentistry PA located?

Miracle Mile Dentistry PA is located at 5806A W 36th St, St Louis Park, MN 55416. The listed phone number is (952) 929-5292.

What is Miracle Mile Dentistry PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Miracle Mile Dentistry PA was last updated on March 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.