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SMISEK FAMILY DENTISTRY P.A.
NPI 1457570194
Dentist - General Practice in Shoreview, MN

Active since April 24, 2007
501 TANGLEWOOD DR, SHOREVIEW, MN 55126(651) 483-6747(651) 483-1863 Get Directions Write a Review

NPPES record last updated: July 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Smisek Family Dentistry P.a. NPPES

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

SMISEK FAMILY DENTISTRY P.A. (NPI 1457570194) is a healthcare organization registered as a general practice in Shoreview, Minnesota and active in the NPI registry since April 2007. The organization lists Gary Ralph Smisek, President Smisek Family Dentistry, as its authorized official.

NPPES Registry Identity

NPI1457570194
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSMISEK FAMILY DENTISTRY P.A.
Location Address501 TANGLEWOOD DRShoreview, MN 55126-2016
Mailing Address501 Tanglewood DrShoreview, MN 55126-2016 · (651) 483-6747 · Fax (651) 483-1863
Phone(651) 483-6747
Fax(651) 483-1863
Organization SubpartNo
Authorized OfficialGary Ralph SmisekPresident Smisek Family Dentistry · (651) 483-6747
Enumeration DateApril 24, 2007
Last NPPES UpdateJuly 17, 2008
✔ NPI 1457570194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in MN · 9783✔ Licensed in MN · 7909
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.
501 TANGLEWOOD DR, Shoreview, MN 55126
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Other Identifiers 2

Other41-124-3604Federal Id. Number
Other66340-47MN · State Mn Id Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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. RONALD MIICHAEL SMISEK DDS
Dentist (General Practice)
501 TANGLEWOOD DR
SHOREVIEW, MN 55126
Ramsey County (651) 483-6747
DR. GARY RALPH SMISEK D.D.S.
Dentist (General Practice)
501 TANGLEWOOD DR
SHOREVIEW, MN 55126
Ramsey County (651) 483-6747

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 Smisek Family Dentistry P.A.'s NPI number?

The NPI number for Smisek Family Dentistry P.A. is 1457570194. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Smisek Family Dentistry P.A. located?

Smisek Family Dentistry P.A. is located at 501 Tanglewood Dr, Shoreview, MN 55126. The listed phone number is (651) 483-6747.

What is Smisek Family Dentistry P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Smisek Family Dentistry P.A. accept?

Health plans from UnitedHealthcare list Smisek Family Dentistry P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Smisek Family Dentistry P.A. was last updated on July 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.