BAY CREEK DENTAL
NPI 1679765929
Dentist - General Practice in Plymouth, MN

Q: What is Paul Boettner D.D.S. PLLC's NPI number?

The NPI number for Paul Boettner D.D.S. PLLC is 1679765929. It was assigned to this organization in the NPPES registry on August 10, 2007. The provider is doing business as Bay Creek Dental.

Q: What is Paul Boettner D.D.S. PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since August 10, 2007

1495 COUNTY ROAD 101 N, SUITE 2, PLYMOUTH, MN 55447(763) 476-6774 Get Directions Write a Review

NPPES record last updated: June 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Bay Creek Dental NPPES

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

BAY CREEK DENTAL (NPI 1679765929) is a healthcare organization registered as a general practice in Plymouth, Minnesota and active in the NPI registry since August 2007. The organization lists Paul D Boettner, Owner, as its authorized official.

NPPES Registry Identity

NPI1679765929

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NamePAUL BOETTNER D.D.S. PLLC

Location Address1495 COUNTY ROAD 101 N, SUITE 2Plymouth, MN 55447-3078

Mailing Address1495 County Road 101 N, Suite 2Plymouth, MN 55447 · (763) 476-6774

Phone(763) 476-6774

Organization SubpartNo

Authorized OfficialPaul D BoettnerOwner · (763) 476-6774

Enumeration DateAugust 10, 2007

Last NPPES UpdateJune 15, 2012

✔ NPI 1679765929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MN · D12160

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1495 COUNTY ROAD 101 N, Plymouth, MN 55447

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Other Names 1

Doing Business AsBay Creek Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 8

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

DR. NATALIE A REHM D.O.

Family Medicine

1495 COUNTY ROAD 101 N
PLYMOUTH, MN 55447

Hennepin County (763) 504-6600

ANDREA BRYAN PA-C

Physician Assistant

1495 COUNTY ROAD 101 N
PLYMOUTH, MN 55447

Hennepin County (637) 504-6500

JESSICA LIU

Physician Assistant

1495 COUNTY ROAD 101 N
PLYMOUTH, MN 55447

Hennepin County (763) 504-6600

MS. KYLIE CLAIRE LYMAN PA-C

Physician Assistant

1495 COUNTY ROAD 101 N
PLYMOUTH, MN 55447

Hennepin County (763) 504-6600

PLYMOUTH PLAZA DENTAL

Dentist (General Practice)

1495 COUNTY ROAD 101 N, SUITE2
PLYMOUTH, MN 55447

Hennepin County (763) 476-6774

KEVIN HEIN PA-C

Physician Assistant

1495 COUNTY ROAD 101 N
PLYMOUTH, MN 55447

Hennepin County (763) 504-6600

YAZDAAN JUMA M.D.

Family Medicine

1495 COUNTY ROAD 101 N
PLYMOUTH, MN 55447

Hennepin County (763) 504-6500

DR. PAUL D BOETTNER D.D.S.

Dentist (General Practice)

1495 COUNTY ROAD 101 N, SUITE 2
PLYMOUTH, MN 55447

Hennepin County (763) 476-6774

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 Paul Boettner D.D.S. PLLC's NPI number?

The NPI number for Paul Boettner D.D.S. PLLC is 1679765929. It was assigned to this organization in the NPPES registry on August 10, 2007. The provider is doing business as Bay Creek Dental.

Where is Paul Boettner D.D.S. PLLC located?

Paul Boettner D.D.S. PLLC is located at 1495 County Road 101 N Suite 2, Plymouth, MN 55447. The listed phone number is (763) 476-6774.

What is Paul Boettner D.D.S. PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Paul Boettner D.D.S. PLLC accept?

Health plans from UnitedHealthcare list Paul Boettner D.D.S. PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Boettner D.D.S. PLLC was last updated on June 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.