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SOUTHWEST DENTAL CARE
NPI 1619451192
Dentist - General Practice in Forest Lake, MN

Active since September 20, 2018
107 12TH ST SW STE 2, FOREST LAKE, MN 55025(612) 261-4998 Get Directions Write a Review

NPPES record last updated: December 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2018, Sep 20, 2018 (2 updates tracked since 2018).

About Southwest Dental Care NPPES

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

SOUTHWEST DENTAL CARE (NPI 1619451192) is a healthcare organization registered as a general practice in Forest Lake, Minnesota and active in the NPI registry since September 2018. The organization lists Jessica Britt, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1619451192
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMINNESOTA DENTAL PROFESSIONALS, P.C.
Location Address107 12TH ST SW STE 2Forest Lake, MN 55025-1467
Mailing Address107 12th St Sw Ste 2Forest Lake, MN 55025-1467 · (651) 964-2013 · Fax (651) 272-5323
Phone(612) 261-4998
Organization SubpartYes
Authorized OfficialJessica BrittCredentialing Coordinator · (217) 540-8426
Enumeration DateSeptember 20, 2018
Last NPPES UpdateDecember 17, 20182 updates tracked since enumeration
✔ NPI 1619451192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
107 12TH ST SW STE 2, Forest Lake, MN 55025
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Other Names 1

Doing Business AsSouthwest Dental Care

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 2

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

KATERYNA NECHAY
Dentist
107 12TH ST SW STE 2
FOREST LAKE, MN 55025
Washington County (651) 964-2013
JESSICA TIEN THUY NGUYEN
Dentist
107 12TH ST SW STE 2
FOREST LAKE, MN 55025
Washington County (651) 964-2013

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 Minnesota Dental Professionals, P.C.'s NPI number?

The NPI number for Minnesota Dental Professionals, P.C. is 1619451192. It was assigned to this organization in the NPPES registry on September 20, 2018. The provider is doing business as Southwest Dental Care.

Where is Minnesota Dental Professionals, P.C. located?

Minnesota Dental Professionals, P.C. is located at 107 12th St SW Ste 2, Forest Lake, MN 55025. The listed phone number is (612) 261-4998.

What is Minnesota Dental Professionals, P.C.'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 Minnesota Dental Professionals, P.C. was last updated on December 17, 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.