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PLYMOUTH DENTAL CARE PC
NPI 1730384280
Dentist - General Practice in Plymouth, MN

Active since June 15, 2007
4000 ANNAPOLIS LN N, SUITE 103, PLYMOUTH, MN 55447(763) 551-0501(612) 573-6687 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Plymouth Dental Care Pc NPPES

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

PLYMOUTH DENTAL CARE PC (NPI 1730384280) is a healthcare organization registered as a general practice in Plymouth, Minnesota and active in the NPI registry since June 2007. The organization lists P. Louis Michelich, President, as its authorized official.

NPPES Registry Identity

NPI1730384280
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePLYMOUTH DENTAL CARE PC
Location Address4000 ANNAPOLIS LN N, SUITE 103Plymouth, MN 55447-5480
Mailing Address4000 Annapolis Ln N, Suite 103Plymouth, MN 55447-5480 · (763) 551-0501 · Fax (612) 573-6687
Phone(763) 551-0501
Fax(612) 573-6687
Organization SubpartNo
Authorized OfficialP. Louis MichelichPresident · (763) 551-0501
Enumeration DateJune 15, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1730384280 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 · D7115
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.
4000 ANNAPOLIS LN N, Plymouth, MN 55447
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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

Other Providers at the Same Location NPPES

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

DR. PETER LOUIS MICHELICH D.D.S.
Dentist (General Practice)
4000 ANNAPOLIS LN N, SUITE 103
PLYMOUTH, MN 55447
Hennepin County (763) 551-0501

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 Plymouth Dental Care PC's NPI number?

The NPI number for Plymouth Dental Care PC is 1730384280. It was assigned to this organization in the NPPES registry on June 15, 2007.

Where is Plymouth Dental Care PC located?

Plymouth Dental Care PC is located at 4000 Annapolis Ln N Suite 103, Plymouth, MN 55447. The listed phone number is (763) 551-0501.

What is Plymouth Dental Care PC'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 Plymouth Dental Care PC was last updated on August 22, 2020. 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.