STILLWATER MODERN DENTISTRY. PC
NPI 1629774138
Dentist - General Practice in Oak Park Heights, MN

Q: What is Stillwater Modern Dentistry. PC's NPI number?

The NPI number for Stillwater Modern Dentistry. PC is 1629774138. It was assigned to this organization in the NPPES registry on February 6, 2023. The provider is doing business as Stillwater Modern Dentistry.

Q: What is Stillwater Modern Dentistry. PC's specialty?

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

Active since February 06, 2023

13331 60TH ST N, OAK PARK HEIGHTS, MN 55082(651) 352-4629(651) 359-2935 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Stillwater Modern Dentistry. Pc NPPES

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

STILLWATER MODERN DENTISTRY. PC (NPI 1629774138), doing business as Stillwater Modern Dentistry, is a healthcare organization registered as a general practice in Oak Park Heights, Minnesota and active in the NPI registry since February 2023. The organization lists Krista Jean Koehler, Owner, as its authorized official.

NPPES Registry Identity

NPI1629774138

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSTILLWATER MODERN DENTISTRY. PC

Location Address13331 60TH ST NOak Park Heights, MN 55082-1287

Mailing AddressPo Box 920050Dallas, TX 75392-0050

Phone(651) 352-4629

Fax(651) 359-2935

Organization SubpartNo

Authorized OfficialKrista Jean KoehlerOwner · (651) 352-4629

Enumeration DateFebruary 6, 2023

NPPES CertifiedFebruary 6, 2023

✔ NPI 1629774138 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.

13331 60TH ST N, Oak Park Heights, MN 55082

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Other Names 1

Doing Business AsStillwater Modern Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Stillwater Modern Dentistry. PC's NPI number?

The NPI number for Stillwater Modern Dentistry. PC is 1629774138. It was assigned to this organization in the NPPES registry on February 6, 2023. The provider is doing business as Stillwater Modern Dentistry.

Where is Stillwater Modern Dentistry. PC located?

Stillwater Modern Dentistry. PC is located at 13331 60th St N, Oak Park Heights, MN 55082. The listed phone number is (651) 352-4629.

What is Stillwater Modern Dentistry. PC'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 Stillwater Modern Dentistry. PC was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.