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NORTH ST. PAUL DENTAL
NPI 1497991798
Dentist - General Practice in North St Paul, MN

Active since December 17, 2008
2082 11TH AVE E, NORTH ST PAUL, MN 55109(651) 770-6260 Get Directions Write a Review

NPPES record last updated: December 17, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About North St. Paul Dental NPPES

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

NORTH ST. PAUL DENTAL (NPI 1497991798) is a healthcare organization registered as a general practice in North St Paul, Minnesota and active in the NPI registry since December 2008. The organization lists Timothy A Bray, Owner/ Dentist, as its authorized official.

NPPES Registry Identity

NPI1497991798
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNORTH ST. PAUL DENTAL
Location Address2082 11TH AVE ENorth St Paul, MN 55109-5112
Mailing Address814 Mahtomedi AveMahtomedi, MN 55115-1730 · (651) 426-0011 · Fax (651) 426-2075
Phone(651) 770-6260
Organization SubpartYesParent: Mahtomedi Dental Clinic
Authorized OfficialTimothy A BrayOwner/ Dentist · (651) 770-6260
Enumeration DateDecember 17, 2008
✔ NPI 1497991798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · 8217
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.

2082 11TH AVE E, North St Paul, MN 55109
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Other Identifiers 1

Medicaid982017500MN

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 MULTIPLE SINGLE SPECIALTY GROUP

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 North St. Paul Dental's NPI number?

The NPI number for North St. Paul Dental is 1497991798. It was assigned to this organization in the NPPES registry on December 17, 2008.

Where is North St. Paul Dental located?

North St. Paul Dental is located at 2082 11th Ave E, North St Paul, MN 55109. The listed phone number is (651) 770-6260.

What is North St. Paul Dental's specialty?

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

When was this NPI record last updated?

The NPPES record for North St. Paul Dental was last updated on December 17, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.