1. Home
  2. Directory
  3. Minnesota
  4. Baxter
  5. Dentist
  6. NPI Profile

GREENHAVEN FAMILY DENTAL
NPI 1508125584
Dentist - General Practice in Baxter, MN

Active since May 10, 2012
13495 ELDER DR, SUITE 100, BAXTER, MN 56425(218) 454-0523(218) 454-0524 Get Directions Write a Review

NPPES record last updated: May 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Greenhaven Family Dental NPPES

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

GREENHAVEN FAMILY DENTAL (NPI 1508125584) is a healthcare organization registered as a general practice in Baxter, Minnesota and active in the NPI registry since May 2012. The organization lists Clinton L Roberts, Owner, as its authorized official.

NPPES Registry Identity

NPI1508125584
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGREENHAVEN FAMILY DENTAL
Location Address13495 ELDER DR, SUITE 100Baxter, MN 56425-8763
Mailing Address13495 Elder Dr, Suite 100Baxter, MN 56425-8763 · (218) 454-0523 · Fax (218) 454-0524
Phone(218) 454-0523
Fax(218) 454-0524
Organization SubpartNo
Authorized OfficialClinton L RobertsOwner · (218) 454-0523
Enumeration DateMay 10, 2012
✔ NPI 1508125584 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 · D10518
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.
13495 ELDER DR, Baxter, MN 56425
Open in Google Maps ↗

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 3

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

SLEEP CENTER OF CENTRAL MINNESOTA, LLC
Durable Medical Equipment & Medical Supplies
13495 ELDER DR
BAXTER, MN 56425
Crow Wing County (218) 454-0225
DREAMHAVEN DENTAL SLEEP MEDICINE
Clinic/Center (Dental)
13495 ELDER DR, SUITE 100
BAXTER, MN 56425
Crow Wing County (218) 454-0523
GREENHAVEN FAMILY DENTAL
Dentist (General Practice)
13495 ELDER DR, SUITE 100
BAXTER, MN 56425
Crow Wing County (218) 454-0523

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 Greenhaven Family Dental's NPI number?

The NPI number for Greenhaven Family Dental is 1508125584. It was assigned to this organization in the NPPES registry on May 10, 2012.

Where is Greenhaven Family Dental located?

Greenhaven Family Dental is located at 13495 Elder Dr Suite 100, Baxter, MN 56425. The listed phone number is (218) 454-0523.

What is Greenhaven Family 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 Greenhaven Family Dental was last updated on May 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.