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CENTRAL AVENUE DENTAL CARE
NPI 1619619129
Dentist - General Practice in Blaine, MN

Active since April 13, 2022
12371 ULYSSES ST NE, BLAINE, MN 55434(763) 203-6100 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Central Avenue Dental Care NPPES

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

CENTRAL AVENUE DENTAL CARE (NPI 1619619129) is a healthcare organization registered as a general practice in Blaine, Minnesota and active in the NPI registry since April 2022. The organization lists Celia Hayes, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1619619129
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNORTHLAND DENTAL PARTNERS, PLLC
Location Address12371 ULYSSES ST NEBlaine, MN 55434-3910
Mailing Address12371 Ulysses St NeBlaine, MN 55434-3910 · (763) 203-6100
Phone(763) 203-6100
Organization SubpartYes
Authorized OfficialCelia HayesCredentialing Coordinator · (217) 540-2100
Enumeration DateApril 13, 2022
Last NPPES UpdateFebruary 1, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1619619129 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.
12371 ULYSSES ST NE, Blaine, MN 55434
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Other Names 1

Doing Business AsCentral Avenue 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

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 Northland Dental Partners, PLLC's NPI number?

The NPI number for Northland Dental Partners, PLLC is 1619619129. It was assigned to this organization in the NPPES registry on April 13, 2022. The provider is doing business as Central Avenue Dental Care.

Where is Northland Dental Partners, PLLC located?

Northland Dental Partners, PLLC is located at 12371 Ulysses St NE, Blaine, MN 55434. The listed phone number is (763) 203-6100.

What is Northland Dental Partners, PLLC'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 Northland Dental Partners, PLLC was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.