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GRAND DENTAL CARE, PLLC
NPI 1659964179
Clinic/Center - Dental in Saint Paul, MN

Active since February 16, 2021
960 GRAND AVE, SAINT PAUL, MN 55105(651) 291-9667 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Grand Dental Care, Pllc NPPES

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

GRAND DENTAL CARE, PLLC (NPI 1659964179), doing business as Grand Avenue Dental, Llc, is a healthcare organization registered as a dental in Saint Paul, Minnesota and active in the NPI registry since February 2021. The organization lists Robert Scott Tyler, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1659964179
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGRAND DENTAL CARE, PLLC
Location Address960 GRAND AVESaint Paul, MN 55105-3014
Mailing Address960 Grand AveSaint Paul, MN 55105-3014 · (651) 291-9667
Phone(651) 291-9667
Organization SubpartNo
Authorized OfficialRobert Scott TylerBusiness Manager · (651) 291-9667
Enumeration DateFebruary 16, 2021
NPPES CertifiedJanuary 27, 2021
✔ NPI 1659964179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
960 GRAND AVE, Saint Paul, MN 55105
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Other Names 1

Doing Business AsGrand Avenue Dental, Llc

Other Providers at the Same Location NPPES 3

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

DR. PAUL DAVID AMBLE DDS
Dentist (General Practice)
960 GRAND AVE
SAINT PAUL, MN 55105
Ramsey County (651) 291-9667
DR. MEGAN PINT D.D.S.
Dentist
960 GRAND AVE
SAINT PAUL, MN 55105
Ramsey County (651) 291-9667
GRAND AVENUE DENTAL, LLC
Clinic/Center (Dental)
960 GRAND AVE
SAINT PAUL, MN 55105
Ramsey County (651) 291-9667

Frequently Asked Questions

What is GRAND DENTAL CARE, PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1659964179, enumerated as an "organization" on February 16, 2021.

Where is the provider located?

The provider is located at 960 GRAND AVE SAINT PAUL, MN 55105 and the phone number is (651) 291-9667.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.