GRAND DENTAL CARE, PLLC
NPI 1659964179
Clinic/Center - Dental in Saint Paul, MN
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
Specialties & Licenses
Other Names 1
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.
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 Grand Dental Care, PLLC's NPI number?
The NPI number for Grand Dental Care, PLLC is 1659964179. It was assigned to this organization in the NPPES registry on February 16, 2021. The provider is doing business as Grand Avenue Dental, LLC.
Where is Grand Dental Care, PLLC located?
Grand Dental Care, PLLC is located at 960 Grand Ave, Saint Paul, MN 55105. The listed phone number is (651) 291-9667.
What is Grand Dental Care, 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 Grand Dental Care, PLLC was last updated on February 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Grand Dental Care, Pllc · NPI 1659964179
Dental organization in Saint Paul, Minnesota. Organization record, active in the CMS NPPES registry since February 16, 2021.
## Identity
- **NPI:** 1659964179 (Entity type: Organization)
- **Enumerated:** February 16, 2021
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Also known as:** Grand Avenue Dental, LLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Robert Tyler, BUSINESS MANAGER
## Practice location
- **Address:** 960 GRAND AVE, Saint Paul, MN 55105-3014
- **Phone:** (651) 291-9667
## Record status
- **NPPES last updated:** February 16, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1659964179) · Data from the CMS NPPES public registry.