PLYMOUTH SMILES DENTISTRY, PC
NPI 1508574773
Dentist in Plymouth, MN

Active since November 07, 2022
3405 VICKSBURG LN N STE 120, PLYMOUTH, MN 55447(763) 390-2414(763) 290-6811 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Plymouth Smiles Dentistry, Pc NPPES

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

PLYMOUTH SMILES DENTISTRY, PC (NPI 1508574773), doing business as Plymouth Smiles Dentistry, is a healthcare organization registered as a dentist in Plymouth, Minnesota and active in the NPI registry since November 2022. The organization lists Parvathi Jithendrana, Owner, as its authorized official.

NPPES Registry Identity

NPI1508574773
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePLYMOUTH SMILES DENTISTRY, PC
Location Address3405 VICKSBURG LN N STE 120Plymouth, MN 55447-1370
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (763) 390-2414 · Fax (763) 290-6811
Fax(763) 290-6811
Organization SubpartNo
Authorized OfficialParvathi JithendranaOwner · (763) 390-2614
Enumeration DateNovember 7, 2022
NPPES CertifiedNovember 7, 2022
NPI 1508574773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3405 VICKSBURG LN N STE 120, Plymouth, MN 55447

Other Names 1

Doing Business AsPlymouth Smiles Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Plymouth Smiles Dentistry, PC's NPI number?

The NPI number for Plymouth Smiles Dentistry, PC is 1508574773. It was assigned to this organization in the NPPES registry on November 7, 2022. The provider is doing business as Plymouth Smiles Dentistry.

Where is Plymouth Smiles Dentistry, PC located?

Plymouth Smiles Dentistry, PC is located at 3405 Vicksburg Ln N Ste 120, Plymouth, MN 55447. The listed phone number is (763) 390-2414.

What is Plymouth Smiles Dentistry, PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Plymouth Smiles Dentistry, PC was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.