RIVERDALE KIDDS PEDIATRIC DENTISTRY, PLLC
NPI 1477025906
Dentist - Pediatric Dentistry in Coon Rapids, MN

Q: What is Riverdale Kidds Pediatric Dentistry, PLLC's specialty?

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

Active since December 21, 2018

3585 124TH AVE NW STE 400, COON RAPIDS, MN 55433(763) 283-5494 Get Directions Write a Review

NPPES record last updated: December 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Riverdale Kidds Pediatric Dentistry, Pllc NPPES

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

RIVERDALE KIDDS PEDIATRIC DENTISTRY, PLLC (NPI 1477025906) is a healthcare organization registered as a pediatric dentistry in Coon Rapids, Minnesota and active in the NPI registry since December 2018. The organization lists Deann Carlson, Financial Coordinator, as its authorized official.

NPPES Registry Identity

NPI1477025906

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameRIVERDALE KIDDS PEDIATRIC DENTISTRY, PLLC

Location Address3585 124TH AVE NW STE 400Coon Rapids, MN 55433-1008

Mailing Address3585 124th Ave Nw Ste 400Coon Rapids, MN 55433-1008 · (763) 767-1524

Phone(763) 283-5494

Organization SubpartNo

Authorized OfficialDeann CarlsonFinancial Coordinator · (763) 283-5494

Enumeration DateDecember 21, 2018

✔ NPI 1477025906 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.

3585 124TH AVE NW STE 400, Coon Rapids, MN 55433

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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

Accepted Insurance

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

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 Riverdale Kidds Pediatric Dentistry, PLLC's NPI number?

The NPI number for Riverdale Kidds Pediatric Dentistry, PLLC is 1477025906. It was assigned to this organization in the NPPES registry on December 21, 2018.

Where is Riverdale Kidds Pediatric Dentistry, PLLC located?

Riverdale Kidds Pediatric Dentistry, PLLC is located at 3585 124th Ave NW Ste 400, Coon Rapids, MN 55433. The listed phone number is (763) 283-5494.

What is Riverdale Kidds Pediatric Dentistry, PLLC's specialty?

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

What insurance does Riverdale Kidds Pediatric Dentistry, PLLC accept?

Health plans from UnitedHealthcare list Riverdale Kidds Pediatric Dentistry, PLLC 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 Riverdale Kidds Pediatric Dentistry, PLLC was last updated on December 21, 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.