PLYMOUTH PLAZA DENTAL
NPI 1609095140
Dentist - General Practice in Plymouth, MN

Q: What is Plymouth Plaza Dental's NPI number?

The NPI number for Plymouth Plaza Dental is 1609095140. It was assigned to this organization in the NPPES registry on April 24, 2007.

Q: What is Plymouth Plaza Dental's specialty?

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

Active since April 24, 2007

1495 COUNTY ROAD 101 N, SUITE2, PLYMOUTH, MN 55447(763) 476-6774(763) 476-2147 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Plymouth Plaza Dental NPPES

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

PLYMOUTH PLAZA DENTAL (NPI 1609095140) is a healthcare organization registered as a general practice in Plymouth, Minnesota and active in the NPI registry since April 2007. The organization lists Janet Ann Nielsen, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1609095140

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NamePLYMOUTH PLAZA DENTAL

Location Address1495 COUNTY ROAD 101 N, SUITE2Plymouth, MN 55447-3078

Mailing Address1495 County Road 101 N, Suite2Plymouth, MN 55447-3078 · (763) 476-6774 · Fax (763) 476-2147

Phone(763) 476-6774

Fax(763) 476-2147

Organization SubpartNo

Authorized OfficialJanet Ann NielsenOffice Manager · (763) 476-6774

Enumeration DateApril 24, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1609095140 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 · 8320

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.

1495 COUNTY ROAD 101 N, Plymouth, MN 55447

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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 8

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

DR. NATALIE A REHM D.O.

Family Medicine