1. Home
  2. Directory
  3. Minnesota
  4. Excelsior
  5. Dentist
  6. NPI Profile

CAMP SMILE PEDIATRIC DENTISTRY EXCELSIOR PLLC
NPI 1467924290
Dentist - Pediatric Dentistry in Excelsior, MN

Active since December 18, 2018
675 WATER ST STE 2, EXCELSIOR, MN 55331(763) 383-1788 Get Directions Write a Review

NPPES record last updated: December 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Camp Smile Pediatric Dentistry Excelsior Pllc NPPES

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

CAMP SMILE PEDIATRIC DENTISTRY EXCELSIOR PLLC (NPI 1467924290), doing business as Camp Smile Pediatric Dentistry, is a healthcare organization registered as a pediatric dentistry in Excelsior, Minnesota and active in the NPI registry since December 2018. The organization lists Bobbi L Augustyn, Owner, as its authorized official.

NPPES Registry Identity

NPI1467924290
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCAMP SMILE PEDIATRIC DENTISTRY EXCELSIOR PLLC
Location Address675 WATER ST STE 2Excelsior, MN 55331-3072
Mailing Address675 Water St Ste 2Excelsior, MN 55331-3072 · (763) 383-1788
Phone(763) 383-1788
Organization SubpartNo
Authorized OfficialBobbi L AugustynOwner · (763) 383-1788
Enumeration DateDecember 18, 2018
✔ NPI 1467924290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
675 WATER ST STE 2, Excelsior, MN 55331
Open in Google Maps ↗

Other Names 1

Doing Business AsCamp Smile Pediatric Dentistry

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

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

CAMP SMILE ORTHODONTICS EXCELSIOR PLLC
Clinic/Center (Dental)
675 WATER ST STE 2
EXCELSIOR, MN 55331
Hennepin County (763) 383-1788

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 Camp Smile Pediatric Dentistry Excelsior PLLC's NPI number?

The NPI number for Camp Smile Pediatric Dentistry Excelsior PLLC is 1467924290. It was assigned to this organization in the NPPES registry on December 18, 2018. The provider is doing business as Camp Smile Pediatric Dentistry.

Where is Camp Smile Pediatric Dentistry Excelsior PLLC located?

Camp Smile Pediatric Dentistry Excelsior PLLC is located at 675 Water St Ste 2, Excelsior, MN 55331. The listed phone number is (763) 383-1788.

What is Camp Smile Pediatric Dentistry Excelsior PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Camp Smile Pediatric Dentistry Excelsior PLLC was last updated on December 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.