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PUBLIC HEALTH DENTAL LLC
NPI 1770213639
Clinic/Center - Dental in Roseville, MN

Active since June 14, 2022
385 S OWASSO BLVD W, ROSEVILLE, MN 55113(612) 801-5203 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Public Health Dental Llc NPPES

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

PUBLIC HEALTH DENTAL LLC (NPI 1770213639) is a healthcare organization registered as a dental in Roseville, Minnesota and active in the NPI registry since June 2022. The organization lists Maureen Derdie O'sullivan, Advanced Dental Therapist, as its authorized official.

NPPES Registry Identity

NPI1770213639
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePUBLIC HEALTH DENTAL LLC
Location Address385 S OWASSO BLVD WRoseville, MN 55113-2119
Mailing Address385 S Owasso Blvd WRoseville, MN 55113-2119
Phone(612) 801-5203
Organization SubpartNo
Authorized OfficialMaureen Derdie O'sullivanAdvanced Dental Therapist · (612) 801-5203
Enumeration DateJune 14, 2022
NPPES CertifiedJune 14, 2022
✔ NPI 1770213639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
385 S OWASSO BLVD W, Roseville, MN 55113
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Other Providers at the Same Location NPPES

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

MRS. MAUREEN O'SULLIVAN ADT
Advanced Practice Dental Therapist
385 S OWASSO BLVD W
ROSEVILLE, MN 55113
Ramsey County (612) 801-5203

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 Public Health Dental LLC's NPI number?

The NPI number for Public Health Dental LLC is 1770213639. It was assigned to this organization in the NPPES registry on June 14, 2022.

Where is Public Health Dental LLC located?

Public Health Dental LLC is located at 385 S Owasso Blvd W, Roseville, MN 55113. The listed phone number is (612) 801-5203.

What is Public Health Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Public Health Dental LLC was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.