BLUFF CREEK DENTAL
NPI 1770190951
Dentist - General Practice in Chanhassen, MN

Active since September 30, 2020
600 MARKET ST STE 130, CHANHASSEN, MN 55317(952) 937-5200 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 18, 2023, Sep 30, 2020 (2 updates tracked since 2020).

About Bluff Creek Dental NPPES

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

BLUFF CREEK DENTAL (NPI 1770190951) is a healthcare organization registered as a general practice in Chanhassen, Minnesota and active in the NPI registry since September 2020. The organization lists Christopher Ibberson, Dds/owner, as its authorized official.

NPPES Registry Identity

NPI1770190951
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFOREVER SMILES PARTNERS PLLC
Location Address600 MARKET ST STE 130Chanhassen, MN 55317-4570
Mailing Address600 Market St Ste 130Chanhassen, MN 55317-4570 · (952) 937-5200
Organization SubpartNo
Authorized OfficialChristopher IbbersonDds/owner · (507) 227-5549
Enumeration DateSeptember 30, 2020
Last NPPES UpdateOctober 18, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2020
NPI 1770190951 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.

600 MARKET ST STE 130, Chanhassen, MN 55317

Other Names 1

Doing Business AsBluff Creek Dental

Other Identifiers 3

Medicaid1720165905MN
Other1225140593MN · Cms
Medicaid1447691431MN

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

The NPI number assigned to this healthcare provider is 1770190951, enumerated as an "organization" on September 30, 2020.

The provider is located at 600 MARKET ST STE 130 CHANHASSEN, MN 55317 and the phone number is (952) 937-5200.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.