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NORTHPARK DENTAL
NPI 1710161500
Dentist in Blaine, MN

Active since December 28, 2007
9120 BALTIMORE ST NE, BLAINE, MN 55449(763) 786-1560(763) 786-4390 Get Directions Write a Review

NPPES record last updated: December 28, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northpark Dental NPPES

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

NORTHPARK DENTAL (NPI 1710161500) is a healthcare organization registered as a dentist in Blaine, Minnesota and active in the NPI registry since December 2007. The organization lists Paul Wayne Chadbourn, President, as its authorized official.

NPPES Registry Identity

NPI1710161500
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameNORTHPARK DENTAL
Location Address9120 BALTIMORE ST NEBlaine, MN 55449-4337
Mailing Address9120 Baltimore St NeBlaine, MN 55449-4337 · (763) 786-1560 · Fax (763) 786-4390
Phone(763) 786-1560
Fax(763) 786-4390
Organization SubpartNo
Authorized OfficialPaul Wayne ChadbournPresident · (763) 786-1560
Enumeration DateDecember 28, 2007
✔ NPI 1710161500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
9120 BALTIMORE ST NE, Blaine, MN 55449
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

DR. JOHN HAROLD TROSELIUS D.D.S.
Dentist (General Practice)
9120 BALTIMORE ST NE
BLAINE, MN 55449
Anoka County (763) 786-1560
DR. ANDREW THOMAS CHADBOURN DMD
Dentist
9120 BALTIMORE ST NE
BLAINE, MN 55449
Anoka County (763) 786-1560
DR. GREGORY JOHN POVOLNY D.D.S.
Dentist (General Practice)
9120 BALTIMORE ST NE
BLAINE, MN 55449
Anoka County (763) 786-1560
DR. PAUL WAYNE CHADBOURN D.D.S.
Dentist (General Practice)
9120 BALTIMORE ST NE
BLAINE, MN 55449
Anoka County (763) 786-1560

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 Northpark Dental's NPI number?

The NPI number for Northpark Dental is 1710161500. It was assigned to this organization in the NPPES registry on December 28, 2007.

Where is Northpark Dental located?

Northpark Dental is located at 9120 Baltimore St NE, Blaine, MN 55449. The listed phone number is (763) 786-1560.

What is Northpark Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Northpark Dental was last updated on December 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.