1. Home
  2. Directory
  3. Minnesota
  4. Maple Grove
  5. Clinic Center
  6. NPI Profile

PDB, DDS, PA
NPI 1942809637
Clinic/Center - Dental in Maple Grove, MN

Active since October 22, 2020
12736 BASS LAKE RD, MAPLE GROVE, MN 55369(763) 559-2082 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pdb, Dds, Pa NPPES

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

PDB, DDS, PA (NPI 1942809637) is a healthcare organization registered as a dental in Maple Grove, Minnesota and active in the NPI registry since October 2020. The organization lists Paul Boettner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1942809637
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePDB, DDS, PA
Location Address12736 BASS LAKE RDMaple Grove, MN 55369-6307
Mailing Address1485 County Road 101 NPlymouth, MN 55447-3053 · (763) 476-6774
Phone(763) 559-2082
Organization SubpartNo
Authorized OfficialPaul BoettnerCeo · (763) 476-6774
Enumeration DateOctober 22, 2020
NPPES CertifiedOctober 22, 2020
✔ NPI 1942809637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
12736 BASS LAKE RD, Maple Grove, MN 55369
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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. RICHARD WILLIAM TOPEL DDS
Dentist
12736 BASS LAKE RD
MAPLE GROVE, MN 55369
Hennepin County (763) 559-2082
DR. SARA SMITH D.D.S.
Dentist (General Practice)
12736 BASS LAKE RD
MAPLE GROVE, MN 55369
Hennepin County (763) 559-2082
DR. KAYLA BLANEK DDS
Dentist (General Practice)
12736 BASS LAKE RD
MAPLE GROVE, MN 55369
Hennepin County (763) 559-2082
DR. MICHAEL PAUL SIEVERT DDS
Dentist
12736 BASS LAKE RD
MAPLE GROVE, MN 55369
Hennepin County (763) 559-2082

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 Pdb, Dds, PA's NPI number?

The NPI number for Pdb, Dds, PA is 1942809637. It was assigned to this organization in the NPPES registry on October 22, 2020.

Where is Pdb, Dds, PA located?

Pdb, Dds, PA is located at 12736 Bass Lake Rd, Maple Grove, MN 55369. The listed phone number is (763) 559-2082.

What is Pdb, Dds, PA's specialty?

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

What insurance does Pdb, Dds, PA accept?

Health plans from UnitedHealthcare list Pdb, Dds, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pdb, Dds, PA was last updated on October 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.