BLOOMINGTON FAMILY DENTAL, PLLC
NPI 1649079039
Clinic/Center - Dental in Bloomington, MN

Active since March 10, 2025
9820 NICOLLET AVE S, BLOOMINGTON, MN 55420(952) 856-0089 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bloomington Family Dental, Pllc NPPES

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

BLOOMINGTON FAMILY DENTAL, PLLC (NPI 1649079039) is a healthcare organization registered as a dental in Bloomington, Minnesota and active in the NPI registry since March 2025. The organization lists Brian M Gray, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1649079039
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBLOOMINGTON FAMILY DENTAL, PLLC
Location Address9820 NICOLLET AVE SBloomington, MN 55420
Mailing Address9820 Nicollet Ave SBloomington, MN 55420 · (952) 856-0089
Organization SubpartNo
Authorized OfficialBrian M GrayOwner/dentist · (952) 856-0089
Enumeration DateMarch 10, 2025
NPPES CertifiedMarch 6, 2025
NPI 1649079039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
9820 NICOLLET AVE S, Bloomington, MN 55420

Other Names 1

Former Legal Business NameBloomington Family Dental, Pllc

Other Providers at the Same Location NPPES

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

Clinic/Center (Dental)
9820 NICOLLET AVE S
MINNEAPOLIS, MN 55420

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 Bloomington Family Dental, PLLC's NPI number?

The NPI number for Bloomington Family Dental, PLLC is 1649079039. It was assigned to this organization in the NPPES registry on March 10, 2025.

Where is Bloomington Family Dental, PLLC located?

Bloomington Family Dental, PLLC is located at 9820 Nicollet Ave S, Bloomington, MN 55420. The listed phone number is (952) 856-0089.

What is Bloomington Family Dental, PLLC'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 Bloomington Family Dental, PLLC was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.