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HANOVER DENTAL
NPI 1487147260
Clinic/Center - Dental in Hanover, MN

Active since June 07, 2018
411 LABEAUX AVE NE, HANOVER, MN 55341(763) 400-3005 Get Directions Write a Review

NPPES record last updated: June 7, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hanover Dental NPPES

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

HANOVER DENTAL (NPI 1487147260) is a healthcare organization registered as a dental in Hanover, Minnesota and active in the NPI registry since June 2018. The organization lists Tyler James Koivisto, Dentist, as its authorized official.

NPPES Registry Identity

NPI1487147260
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameHANOVER DENTAL PLLC
Location Address411 LABEAUX AVE NEHanover, MN 55341
Mailing Address1192 Bice Ave NwBuffalo, MN 55313-4456 · (763) 226-7379
Phone(763) 400-3005
Organization SubpartNo
Authorized OfficialTyler James KoivistoDentist · (763) 226-7379
Enumeration DateJune 7, 2018
✔ NPI 1487147260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in MN · D13236
411 LABEAUX AVE NE, Hanover, MN 55341
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Other Names 1

Doing Business AsHanover Dental

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 Hanover Dental PLLC's NPI number?

The NPI number for Hanover Dental PLLC is 1487147260. It was assigned to this organization in the NPPES registry on June 7, 2018. The provider is doing business as Hanover Dental.

Where is Hanover Dental PLLC located?

Hanover Dental PLLC is located at 411 Labeaux Ave NE, Hanover, MN 55341. The listed phone number is (763) 400-3005.

What is Hanover Dental PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Hanover Dental PLLC was last updated on June 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.