OAK PARK DENTAL CLINIC
NPI 1508036070
Dentist - General Practice in Pine City, MN

Active since March 11, 2008
505 JOHNSON AVE SE, PINE CITY, MN 55063(320) 629-2282(320) 629-3357 Get Directions Write a Review

NPPES record last updated: March 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oak Park Dental Clinic NPPES

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

OAK PARK DENTAL CLINIC (NPI 1508036070) is a healthcare organization registered as a general practice in Pine City, Minnesota and active in the NPI registry since March 2008. The organization lists Jon E Cruz, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1508036070
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameOAK PARK DENTAL CLINIC
Location Address505 JOHNSON AVE SEPine City, MN 55063-2108
Mailing Address505 Johnson Ave SePine City, MN 55063-2108 · (320) 629-2282 · Fax (320) 629-3357
Fax(320) 629-3357
Organization SubpartNo
Authorized OfficialJon E CruzDentist/owner · (320) 629-2282
Enumeration DateMarch 11, 2008
Last NPPES UpdateMarch 12, 2008
NPI 1508036070 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.
505 JOHNSON AVE SE, Pine City, MN 55063

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 4

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

Dentist (General Practice)
505 JOHNSON AVE SE
PINE CITY, MN 55063
Dentist (General Practice)
505 JOHNSON AVE SE
PINE CITY, MN 55063
Dentist (General Practice)
505 JOHNSON AVE SE
PINE CITY, MN 55063
Dentist (General Practice)
505 JOHNSON AVE SE
PINE CITY, MN 55063

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 Oak Park Dental Clinic's NPI number?

The NPI number for Oak Park Dental Clinic is 1508036070. It was assigned to this organization in the NPPES registry on March 11, 2008.

Where is Oak Park Dental Clinic located?

Oak Park Dental Clinic is located at 505 Johnson Ave SE, Pine City, MN 55063. The listed phone number is (320) 629-2282.

What is Oak Park Dental Clinic'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 Oak Park Dental Clinic was last updated on March 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.