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DR. SCOTT ROBERT KOIDAHL DDS
NPI 1619030830
Dentist - General Practice in Minneapolis, MN

Active since December 19, 2006
825 NICOLLET MALL, SUITE 731, MINNEAPOLIS, MN 55402(612) 339-5808 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Scott Robert Koidahl Dds NPPES

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

DR. SCOTT ROBERT KOIDAHL DDS (NPI 1619030830) is an individual general practice provider in Minneapolis, Minnesota, licensed in Minnesota (9024) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1619030830
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SCOTT ROBERT KOIDAHLCredential: DDS
Location Address825 NICOLLET MALL, SUITE 731Minneapolis, MN 55402-2606
Mailing Address825 Nicollet Mall, Suite 731Minneapolis, MN 55402-2606 · (612) 339-5808
Phone(612) 339-5808
Sole ProprietorNo
Enumeration DateDecember 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619030830 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 · 9024
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.
825 NICOLLET MALL, Minneapolis, MN 55402
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Other Providers at the Same Location NPPES 20

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

DR. VIRGINIA ANNE MCDERMOTT PH.D.
Psychologist
825 NICOLLET MALL, SUITE 1630
MINNEAPOLIS, MN 55402
Hennepin County (612) 673-9988
SKIN SPECIALISTS, LTD.
Dermatology
825 NICOLLET MALL, SUITE 1002
MINNEAPOLIS, MN 55402
Hennepin County (612) 338-0711
DR. GARY M FINE
Dentist
825 NICOLLET MALL
MINNEAPOLIS, MN 55402
Hennepin County (612) 332-1336
BIRCHWOOD DENTAL OF MINNEAPOLIS
Dentist (General Practice)
825 NICOLLET MALL, 829 MEDICAL ARTS BLDG
MINNEAPOLIS, MN 55402
Hennepin County (612) 333-8677
DOWNTOWN SKYWAY FOOT SPECIALISTS INC
Podiatrist (Foot Surgery)
825 NICOLLET MALL, SUITE 517 MEDICAL ARTS BLDG
MINNEAPOLIS, MN 55402
Hennepin County (612) 332-7720
ADVANCED FOOT CARE CLINIC,LTD
Podiatrist
825 NICOLLET MALL, SUITE 601
MINNEAPOLIS, MN 55402
Hennepin County (763) 550-1013
MARK ALAN JOHNSON D.C.
Chiropractor
825 NICOLLET MALL, STE 1845
MINNEAPOLIS, MN 55402
Hennepin County (612) 332-8292
PAIN & INJURY CENTER PLLC
Physical Medicine & Rehabilitation (Pain Medicine)
825 NICOLLET MALL, SUITE #1453
MINNEAPOLIS, MN 55402
Hennepin County (612) 886-1562

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 Scott Koidahl's NPI number?

The NPI number for Scott Koidahl is 1619030830. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Scott Koidahl located?

Scott Koidahl practices at 825 Nicollet Mall Suite 731, Minneapolis, MN 55402. The listed phone number is (612) 339-5808.

What is Scott Koidahl'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 Scott Koidahl was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.