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BOREALIS DENTAL WYOMING PA
NPI 1750147492
Dentist - General Practice in Wyoming, MN

Active since February 21, 2024
26357 FOREST BLVD # 2, WYOMING, MN 55092(651) 462-7017 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Borealis Dental Wyoming Pa NPPES

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

BOREALIS DENTAL WYOMING PA (NPI 1750147492) is a healthcare organization registered as a general practice in Wyoming, Minnesota and active in the NPI registry since February 2024. The organization lists Sean Goolsby, President, as its authorized official.

NPPES Registry Identity

NPI1750147492
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBOREALIS DENTAL WYOMING PA
Location Address26357 FOREST BLVD # 2Wyoming, MN 55092-8353
Mailing AddressPo Box 886Wyoming, MN 55092-0886
Phone(651) 462-7017
Organization SubpartNo
Authorized OfficialSean GoolsbyPresident · (651) 757-0482
Enumeration DateFebruary 21, 2024
Last NPPES UpdateNovember 5, 2024
NPPES CertifiedNovember 5, 2024
✔ NPI 1750147492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
26357 FOREST BLVD # 2, Wyoming, MN 55092
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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

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 Borealis Dental Wyoming PA's NPI number?

The NPI number for Borealis Dental Wyoming PA is 1750147492. It was assigned to this organization in the NPPES registry on February 21, 2024.

Where is Borealis Dental Wyoming PA located?

Borealis Dental Wyoming PA is located at 26357 Forest Blvd # 2, Wyoming, MN 55092. The listed phone number is (651) 462-7017.

What is Borealis Dental Wyoming PA'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 Borealis Dental Wyoming PA was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.