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MN DENTAL SERVICE PROVIDERS LLC
NPI 1649043662
Dentist - Oral and Maxillofacial Surgery in Coon Rapids, MN

Active since November 01, 2023
3833 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433(763) 421-6271 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mn Dental Service Providers Llc NPPES

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

MN DENTAL SERVICE PROVIDERS LLC (NPI 1649043662) is a healthcare organization registered as an oral and maxillofacial surgery in Coon Rapids, Minnesota and active in the NPI registry since November 2023. The organization lists Charlotte E Vial, Direc Of Cred And Prov Rel, as its authorized official.

NPPES Registry Identity

NPI1649043662
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameMN DENTAL SERVICE PROVIDERS LLC
Location Address3833 COON RAPIDS BLVD NWCoon Rapids, MN 55433-2643
Mailing Address1610 54th Ave N Ste 205Nashville, TN 37209-1442 · (615) 678-0759
Phone(763) 421-6271
Organization SubpartNo
Authorized OfficialCharlotte E VialDirec Of Cred And Prov Rel · (504) 638-0303
Enumeration DateNovember 1, 2023
NPPES CertifiedNovember 1, 2023
✔ NPI 1649043662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3833 COON RAPIDS BLVD NW, Coon Rapids, MN 55433
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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

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.

LAURIE ELIZABETH TALBOT LORENTZ
Counselor (Mental Health)
3833 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433
Anoka County (763) 767-3350
ALAA SAKALLAH
Psychologist (Clinical)
3833 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 427-8320
DR. ALLAN PHILLIP INGENITO M.D.
Psychiatry & Neurology (Neurology)
3833 COON RAPIDS BLVD NW, SUITE 100
COON RAPIDS, MN 55433
Anoka County (763) 427-8320
MRS. CHRISTINE ZWICKY PA-C
Physician Assistant
3833 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 427-8320
INFINITE HEALTH COLLABORATIVE, PA
Durable Medical Equipment & Medical Supplies
3833 COON RAPIDS BLVD NW, SUITE 120
COON RAPIDS, MN 55433
Anoka County (763) 712-5500
DR. MOEEN AHMAD MASOOD M.B., B.S.
Psychiatry & Neurology (Neurology)
3833 COON RAPIDS BLVD NW, SUITE 100
COON RAPIDS, MN 55433
Anoka County (763) 427-8320
TANYA MARIE SVENDDAL M.A LADC
Counselor (Mental Health)
3833 COON RAPIDS BLVD NW, SUITE 120
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
MRS. ALICE I CONGDON L.P.C.C.
Counselor (Professional)
3833 COON RAPIDS BLVD NW, SUITE 120
COON RAPIDS, MN 55433
Anoka County (763) 767-3350

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 Mn Dental Service Providers LLC's NPI number?

The NPI number for Mn Dental Service Providers LLC is 1649043662. It was assigned to this organization in the NPPES registry on November 1, 2023.

Where is Mn Dental Service Providers LLC located?

Mn Dental Service Providers LLC is located at 3833 Coon Rapids Blvd NW, Coon Rapids, MN 55433. The listed phone number is (763) 421-6271.

What is Mn Dental Service Providers LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Mn Dental Service Providers LLC was last updated on November 1, 2023. 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.