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FAMILY & COSMETIC GENTLE DENTISTRY, LTD
NPI 1477112456
Dentist - General Practice in Coon Rapids, MN

Active since June 12, 2019
2147 NORTHDALE BLVD NW, COON RAPIDS, MN 55433(651) 209-3139 Get Directions Write a Review

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family & Cosmetic Gentle Dentistry, Ltd NPPES

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

FAMILY & COSMETIC GENTLE DENTISTRY, LTD (NPI 1477112456), doing business as 'gentle Dentistry', is a healthcare organization registered as a general practice in Coon Rapids, Minnesota and active in the NPI registry since June 2019. The organization lists Robert Luther Bodin, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1477112456
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFAMILY & COSMETIC GENTLE DENTISTRY, LTD
Location Address2147 NORTHDALE BLVD NWCoon Rapids, MN 55433
Mailing Address2147 Northdale Blvd NwCoon Rapids, MN 55433 · (651) 209-3139
Phone(651) 209-3139
Organization SubpartNo
Authorized OfficialRobert Luther BodinOwner/ceo · (952) 224-9788
Enumeration DateJune 12, 2019
✔ NPI 1477112456 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.
2147 NORTHDALE BLVD NW, Coon Rapids, MN 55433
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Other Names 1

Doing Business As'gentle Dentistry'

Other Identifiers 1

Medicaid256415000MN

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 ›

Other Providers at the Same Location NPPES

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

MODERN DENTAL PROFESSIONALS, MN PC
Dentist (General Practice)
2147 NORTHDALE BLVD NW, NWOOD
COON RAPIDS, MN 55433
Anoka County (763) 767-4888

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 Family & Cosmetic Gentle Dentistry, Ltd's NPI number?

The NPI number for Family & Cosmetic Gentle Dentistry, Ltd is 1477112456. It was assigned to this organization in the NPPES registry on June 12, 2019. The provider is doing business as 'Gentle Dentistry'.

Where is Family & Cosmetic Gentle Dentistry, Ltd located?

Family & Cosmetic Gentle Dentistry, Ltd is located at 2147 Northdale Blvd NW, Coon Rapids, MN 55433. The listed phone number is (651) 209-3139.

What is Family & Cosmetic Gentle Dentistry, Ltd's specialty?

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

What insurance does Family & Cosmetic Gentle Dentistry, Ltd accept?

Health plans from UnitedHealthcare list Family & Cosmetic Gentle Dentistry, Ltd 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 Family & Cosmetic Gentle Dentistry, Ltd was last updated on June 12, 2019. 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.