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NORTHLAND DENTAL PARTNERS, PLLC
NPI 1790433126
Dentist - General Practice in Edina, MN

Active since March 15, 2022
4980 W 77TH ST, EDINA, MN 55435(952) 835-3383(952) 835-2818 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northland Dental Partners, Pllc NPPES

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

NORTHLAND DENTAL PARTNERS, PLLC (NPI 1790433126), doing business as Dentistry On 77th, is a healthcare organization registered as a general practice in Edina, Minnesota and active in the NPI registry since March 2022. The organization lists Celia Hayes, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1790433126
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNORTHLAND DENTAL PARTNERS, PLLC
Location Address4980 W 77TH STEdina, MN 55435-4805
Mailing Address4980 W 77th StEdina, MN 55435-4805 · (952) 835-3383 · Fax (952) 835-2818
Phone(952) 835-3383
Fax(952) 835-2818
Organization SubpartYes
Authorized OfficialCelia HayesCredentialing Coordinator · (217) 540-2100
Enumeration DateMarch 15, 2022
Last NPPES UpdateMarch 14, 2025
NPPES CertifiedMarch 14, 2025
✔ NPI 1790433126 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.
4980 W 77TH ST, Edina, MN 55435
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Other Names 1

Doing Business AsDentistry On 77th

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 Northland Dental Partners, PLLC's NPI number?

The NPI number for Northland Dental Partners, PLLC is 1790433126. It was assigned to this organization in the NPPES registry on March 15, 2022. The provider is doing business as Dentistry on 77th.

Where is Northland Dental Partners, PLLC located?

Northland Dental Partners, PLLC is located at 4980 W 77th St, Edina, MN 55435. The listed phone number is (952) 835-3383.

What is Northland Dental Partners, PLLC'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 Northland Dental Partners, PLLC was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.