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ELK PLAZA DENTAL
NPI 1760592406
Dentist - General Practice in Elk River, MN

Active since August 30, 2006
501 MAIN ST NW, #101, ELK RIVER, MN 55330(763) 441-4200 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elk Plaza Dental NPPES

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

ELK PLAZA DENTAL (NPI 1760592406) is a healthcare organization registered as a general practice in Elk River, Minnesota and active in the NPI registry since August 2006. The organization lists Thomas John Hickey, Owner, as its authorized official.

NPPES Registry Identity

NPI1760592406
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameELK PLAZA DENTAL
Location Address501 MAIN ST NW, #101Elk River, MN 55330-1880
Mailing Address501 Main St Nw, #101Elk River, MN 55330-1880 · (763) 441-4200
Phone(763) 441-4200
Organization SubpartNo
Authorized OfficialThomas John HickeyOwner · (763) 441-4200
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1760592406 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 · 8940
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.
501 MAIN ST NW, Elk River, MN 55330
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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 4

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

DR. LAURA ANN NIJSSEN D.D.S.
Dentist (General Practice)
501 MAIN ST NW
ELK RIVER, MN 55330
Sherburne County (763) 441-4200
DR. KYLE JOHN SKJEI DDS
Dentist
501 MAIN ST NW, SUITE 103
ELK RIVER, MN 55330
Sherburne County (763) 441-4200
DR. THOMAS JOHN HICKEY DDS
Dentist
501 MAIN ST NW
ELK RIVER, MN 55330
Sherburne County (763) 441-4200
DR. ERIC R HUNTER D.D.S.
Dentist (General Practice)
501 MAIN ST NW
ELK RIVER, MN 55330
Sherburne County (763) 441-4200

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 Elk Plaza Dental's NPI number?

The NPI number for Elk Plaza Dental is 1760592406. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Elk Plaza Dental located?

Elk Plaza Dental is located at 501 Main St NW #101, Elk River, MN 55330. The listed phone number is (763) 441-4200.

What is Elk Plaza Dental'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 Elk Plaza Dental 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.