1. Home
  2. Directory
  3. Minnesota
  4. Andover
  5. Dentist
  6. NPI Profile

ANDOVER FAMILY DENTISTRY
NPI 1730256132
Dentist - General Practice in Andover, MN

Active since November 29, 2006
3480 BUNKER LAKE BLVD NW, SUITE 202, ANDOVER, MN 55304(763) 427-4780(763) 427-8471 Get Directions Write a Review

NPPES record last updated: June 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andover Family Dentistry NPPES

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

ANDOVER FAMILY DENTISTRY (NPI 1730256132) is a healthcare organization registered as a general practice in Andover, Minnesota and active in the NPI registry since November 2006. The organization lists Ethan R Chute, President, as its authorized official.

NPPES Registry Identity

NPI1730256132
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameANDOVER FAMILY DENTISTRY, LLC
Location Address3480 BUNKER LAKE BLVD NW, SUITE 202Andover, MN 55304
Mailing Address3480 Bunker Lake Blvd Nw, Suite 202Andover, MN 55304 · (763) 427-4780 · Fax (763) 427-8471
Phone(763) 427-4780
Fax(763) 427-8471
Organization SubpartNo
Authorized OfficialEthan R ChutePresident · (763) 427-4780
Enumeration DateNovember 29, 2006
Last NPPES UpdateJune 19, 2019
✔ NPI 1730256132 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 · D11439
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.
3480 BUNKER LAKE BLVD NW, Andover, MN 55304
Open in Google Maps ↗

Other Names 1

Doing Business AsAndover Family Dentistry

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. ETHAN R CHUTE D.D.S.
Dentist (General Practice)
3480 BUNKER LAKE BLVD NW
ANDOVER, MN 55304
Anoka County (763) 427-4780
ALICIA M YANTES O.D.
Optometrist
3480 BUNKER LAKE BLVD NW, SUITE 101
ANDOVER, MN 55304
Anoka County (763) 712-9854

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 Andover Family Dentistry, LLC's NPI number?

The NPI number for Andover Family Dentistry, LLC is 1730256132. It was assigned to this organization in the NPPES registry on November 29, 2006. The provider is doing business as Andover Family Dentistry.

Where is Andover Family Dentistry, LLC located?

Andover Family Dentistry, LLC is located at 3480 Bunker Lake Blvd NW Suite 202, Andover, MN 55304. The listed phone number is (763) 427-4780.

What is Andover Family Dentistry, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Andover Family Dentistry, LLC was last updated on June 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.