NORTHSTAR DENTISTRY
NPI 1629885884
Clinic/Center - Dental in Edina, MN

Active since December 11, 2024
3930 SUNNYSIDE RD, EDINA, MN 55424(412) 877-2288 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northstar Dentistry NPPES

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

NORTHSTAR DENTISTRY (NPI 1629885884), doing business as The Dentist's House Of Edina, is a healthcare organization registered as a dental in Edina, Minnesota and active in the NPI registry since December 2024. The organization lists D Grant Lewis, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1629885884
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameNORTHSTAR DENTISTRY
Location Address3930 SUNNYSIDE RDEdina, MN 55424-1211
Mailing Address866 Trenton Ln NPlymouth, MN 55441-4497 · (412) 877-2288
Organization SubpartNo
Authorized OfficialD Grant LewisCeo/president · (412) 877-2288
Enumeration DateDecember 11, 2024
NPPES CertifiedDecember 11, 2024
NPI 1629885884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3930 SUNNYSIDE RD, Edina, MN 55424

Other Names 1

Doing Business AsThe Dentist's House Of Edina

Other Providers at the Same Location NPPES 5

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

Dentist (General Practice)
3930 SUNNYSIDE RD
EDINA, MN 55424
Clinic/Center (Dental)
3930 SUNNYSIDE RD
EDINA, MN 55424
Dentist (General Practice)
3930 SUNNYSIDE RD
EDINA, MN 55424
Dentist
3930 SUNNYSIDE RD
EDINA, MN 55424
Dentist (General Practice)
3930 SUNNYSIDE RD
EDINA, MN 55424

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 Northstar Dentistry's NPI number?

The NPI number for Northstar Dentistry is 1629885884. It was assigned to this organization in the NPPES registry on December 11, 2024. The provider is doing business as The Dentist's House of Edina.

Where is Northstar Dentistry located?

Northstar Dentistry is located at 3930 Sunnyside Rd, Edina, MN 55424. The listed phone number is (412) 877-2288.

What is Northstar Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Northstar Dentistry was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.