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BOREALIS DENTAL STUDIO, P.A.
NPI 1922450634
Dentist in Lindstrom, MN

Active since July 06, 2016
12745 N 1ST AVE, LINDSTROM, MN 55045(651) 257-2720 Get Directions Write a Review

NPPES record last updated: July 6, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Borealis Dental Studio, P.a. NPPES

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

BOREALIS DENTAL STUDIO, P.A. (NPI 1922450634) is a healthcare organization registered as a dentist in Lindstrom, Minnesota and active in the NPI registry since July 2016. The organization lists Becky Goolsby, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1922450634
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameBOREALIS DENTAL STUDIO, P.A.
Location Address12745 N 1ST AVELindstrom, MN 55045-9585
Mailing Address6892 256th StWyoming, MN 55092-8362 · (405) 837-3159
Phone(651) 257-2720
Organization SubpartNo
Authorized OfficialBecky GoolsbyBusiness Manager · (405) 837-3159
Enumeration DateJuly 6, 2016
✔ NPI 1922450634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D13152
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
12745 N 1ST AVE, Lindstrom, MN 55045
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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 3

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

KAI ANTHONY AHLMAN DDS
Dentist (General Practice)
12745 N 1ST AVE
LINDSTROM, MN 55045
Chisago County (651) 257-2720
CHISAGO LAKES DENTAL SERVICES LLC
Dentist (General Practice)
12745 N 1ST AVE
LINDSTROM, MN 55045
Chisago County (763) 360-1465
SEAN PATRICK GOOLSBY DDS
Dentist (General Practice)
12745 N 1ST AVE
LINDSTROM, MN 55045
Chisago County (651) 257-2720

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 Studio, P.A.'s NPI number?

The NPI number for Borealis Dental Studio, P.A. is 1922450634. It was assigned to this organization in the NPPES registry on July 6, 2016.

Where is Borealis Dental Studio, P.A. located?

Borealis Dental Studio, P.A. is located at 12745 N 1st Ave, Lindstrom, MN 55045. The listed phone number is (651) 257-2720.

What is Borealis Dental Studio, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Borealis Dental Studio, P.A. was last updated on July 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.