NOKOMIS FAMILY DENTAL PA
NPI 1689284481
Clinic/Center - Dental in Minneapolis, MN

Active since August 06, 2020
4948 34TH AVE S, MINNEAPOLIS, MN 55417(612) 722-4676 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nokomis Family Dental Pa NPPES

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

NOKOMIS FAMILY DENTAL PA (NPI 1689284481) is a healthcare organization registered as a dental in Minneapolis, Minnesota and active in the NPI registry since August 2020. The organization lists Sam Jacobson, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1689284481
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameNOKOMIS FAMILY DENTAL PA
Location Address4948 34TH AVE SMinneapolis, MN 55417-1504
Mailing Address8910 Penn Ave SBloomington, MN 55431-2025 · (952) 881-0504
Organization SubpartNo
Authorized OfficialSam JacobsonBusiness Manager · (952) 881-0504
Enumeration DateAugust 6, 2020
NPPES CertifiedAugust 6, 2020
NPI 1689284481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4948 34TH AVE S, Minneapolis, MN 55417

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist
4948 34TH AVE S
MINNEAPOLIS, MN 55417

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 Nokomis Family Dental PA's NPI number?

The NPI number for Nokomis Family Dental PA is 1689284481. It was assigned to this organization in the NPPES registry on August 6, 2020.

Where is Nokomis Family Dental PA located?

Nokomis Family Dental PA is located at 4948 34th Ave S, Minneapolis, MN 55417. The listed phone number is (612) 722-4676.

What is Nokomis Family Dental PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Nokomis Family Dental PA accept?

Health plans from UnitedHealthcare list Nokomis Family Dental PA 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 Nokomis Family Dental PA was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.