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4TH AVENUE DENTAL, PA, DBA OAK PARK DENTAL
NPI 1609298355
Dentist - General Practice in Pine City, MN

Active since January 15, 2014
505 JOHNSON AVE SE, PINE CITY, MN 55063(320) 629-2282(320) 629-3357 Get Directions Write a Review

NPPES record last updated: January 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 4th Avenue Dental, Pa, Dba Oak Park Dental NPPES

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

4TH AVENUE DENTAL, PA, DBA OAK PARK DENTAL (NPI 1609298355) is a healthcare organization registered as a general practice in Pine City, Minnesota and active in the NPI registry since January 2014. The organization lists Alicia Ascheman, Supervisor/owner, as its authorized official.

NPPES Registry Identity

NPI1609298355
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business Name4TH AVENUE DENTAL, PA, DBA OAK PARK DENTAL
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
Phone(320) 629-2282
Fax(320) 629-3357
Organization SubpartNo
Authorized OfficialAlicia AschemanSupervisor/owner · (320) 629-2282
Enumeration DateJanuary 15, 2014
✔ NPI 1609298355 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 · D11935
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
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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 4

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

OAK PARK DENTAL - PINE CITY LLC
Dentist (General Practice)
505 JOHNSON AVE SE
PINE CITY, MN 55063
Pine County (320) 629-2282
OAK PARK DENTAL CLINIC
Dentist (General Practice)
505 JOHNSON AVE SE
PINE CITY, MN 55063
Pine County (320) 629-2282
CARRIE CARLSON DDS
Dentist (General Practice)
505 JOHNSON AVE SE
PINE CITY, MN 55063
Pine County (320) 629-2282
JON E CRUZ DDS
Dentist (General Practice)
505 JOHNSON AVE SE
PINE CITY, MN 55063
Pine County (320) 629-2282

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 4th Avenue Dental, PA, Dba Oak Park Dental's NPI number?

The NPI number for 4th Avenue Dental, PA, Dba Oak Park Dental is 1609298355. It was assigned to this organization in the NPPES registry on January 15, 2014.

Where is 4th Avenue Dental, PA, Dba Oak Park Dental located?

4th Avenue Dental, PA, Dba Oak Park Dental is located at 505 Johnson Ave SE, Pine City, MN 55063. The listed phone number is (320) 629-2282.

What is 4th Avenue Dental, PA, Dba Oak Park 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 4th Avenue Dental, PA, Dba Oak Park Dental was last updated on January 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.