SAINT ANTHONY VILLAGE DENTISTRY
NPI 1528535788
Clinic/Center - Dental in St Anthony, MN

Active since October 25, 2018
2525 33RD AVE NE, ST ANTHONY, MN 55418(612) 781-9270(612) 767-3490 Get Directions Write a Review

NPPES record last updated: October 25, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Saint Anthony Village Dentistry NPPES

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

SAINT ANTHONY VILLAGE DENTISTRY (NPI 1528535788) is a healthcare organization registered as a dental in St Anthony, Minnesota and active in the NPI registry since October 2018. The organization lists Cory John Larson, Dentist, as its authorized official.

NPPES Registry Identity

NPI1528535788
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSAINT ANTHONY VILLAGE DENTISTRY
Location Address2525 33RD AVE NESt Anthony, MN 55418-1539
Mailing Address1632 Washington St NeMinneapolis, MN 55413-1336 · (612) 789-2853 · Fax (612) 767-9430
Fax(612) 767-3490
Organization SubpartNo
Authorized OfficialCory John LarsonDentist · (612) 789-2853
Enumeration DateOctober 25, 2018
✔ NPI 1528535788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2525 33RD AVE NE, St Anthony, MN 55418

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
2525 33RD AVE NE
ST ANTHONY, MN 55418
Clinic/Center (Dental)
2525 33RD AVE NE
ST ANTHONY, MN 55418

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 Saint Anthony Village Dentistry's NPI number?

The NPI number for Saint Anthony Village Dentistry is 1528535788. It was assigned to this organization in the NPPES registry on October 25, 2018.

Where is Saint Anthony Village Dentistry located?

Saint Anthony Village Dentistry is located at 2525 33rd Ave NE, St Anthony, MN 55418. The listed phone number is (612) 781-9270.

What is Saint Anthony Village Dentistry'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 Saint Anthony Village Dentistry was last updated on October 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.