MINNESOTA DENTAL PROFESSIONALS, P.C.
NPI 1427623966
Dentist - General Practice in Cottage Grove, MN

Active since May 26, 2021
6939 PINE ARBOR DR S STE 104, COTTAGE GROVE, MN 55016(651) 459-3514 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Minnesota Dental Professionals, P.c. NPPES

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

MINNESOTA DENTAL PROFESSIONALS, P.C. (NPI 1427623966), doing business as Pine Arbor Dental Care, is a healthcare organization registered as a general practice in Cottage Grove, Minnesota and active in the NPI registry since May 2021. The organization lists Tabatha Lemke, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1427623966
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMINNESOTA DENTAL PROFESSIONALS, P.C.
Location Address6939 PINE ARBOR DR S STE 104Cottage Grove, MN 55016-4643
Mailing Address6939 Pine Arbor Dr S Ste 104Cottage Grove, MN 55016-4643
Organization SubpartYesParent: Heartland Dental
Authorized OfficialTabatha LemkeCredentialing Coordinator · (217) 540-6078
Enumeration DateMay 26, 2021
NPPES CertifiedMay 26, 2021
NPI 1427623966 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.
6939 PINE ARBOR DR S STE 104, Cottage Grove, MN 55016

Other Names 1

Doing Business AsPine Arbor Dental Care

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

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 Minnesota Dental Professionals, P.C.'s NPI number?

The NPI number for Minnesota Dental Professionals, P.C. is 1427623966. It was assigned to this organization in the NPPES registry on May 26, 2021. The provider is doing business as Pine Arbor Dental Care.

Where is Minnesota Dental Professionals, P.C. located?

Minnesota Dental Professionals, P.C. is located at 6939 Pine Arbor Dr S Ste 104, Cottage Grove, MN 55016. The listed phone number is (651) 459-3514.

What is Minnesota Dental Professionals, P.C.'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 Minnesota Dental Professionals, P.C. was last updated on May 26, 2021. 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.