UNIVERSITY OF MINNESOTA PEDIATRIC DENTAL CLINIC
NPI 1992075287
Dentist in Minneapolis, MN

Q: What is University Of Minnesota Pediatric Dental Clinic's specialty?

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

Active since January 04, 2012

701 25TH AVE S, SUITE 400, MINNEAPOLIS, MN 55454(651) 659-4900(651) 659-4901 Get Directions Write a Review

NPPES record last updated: June 5, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About University Of Minnesota Pediatric Dental Clinic NPPES

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

UNIVERSITY OF MINNESOTA PEDIATRIC DENTAL CLINIC (NPI 1992075287) is a healthcare organization registered as a dentist in Minneapolis, Minnesota and active in the NPI registry since January 2012. The organization lists Mary A Johnson, Coo, as its authorized official.

NPPES Registry Identity

NPI1992075287

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameUNIVERSITY OF MINNESOTA PEDIATRIC DENTAL CLINIC

Location Address701 25TH AVE S, SUITE 400Minneapolis, MN 55454-1513

Mailing Address701 25th Ave S, Suite 400Minneapolis, MN 55454-1513 · (651) 659-4900 · Fax (651) 659-4901

Phone(651) 659-4900

Fax(651) 659-4901

Organization SubpartYesParent: Umphysicians

Authorized OfficialMary A JohnsonCoo · (612) 884-0802

Enumeration DateJanuary 4, 2012

Last NPPES UpdateJune 5, 2013

✔ NPI 1992075287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

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.

701 25TH AVE S, Minneapolis, MN 55454

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

JULIO SOTILLO RODRIGUEZ D.D.S., PH.D.

Dentist (Pediatric Dentistry)

701 25TH AVE S, SUITE 400
MINNEAPOLIS, MN 55454

Hennepin County (612) 625-3249

YINGJIU NIE M.A.

Audiologist

701 25TH AVE S, SUITE 200
MINNEAPOLIS, MN 55454

Hennepin County (612) 339-2836

BARBARA M ORTIZ AUD CCC-A

Audiologist

701 25TH AVE S, SUITE 200
MINNEAPOLIS, MN 55454

Hennepin County (612) 339-2836

DANIEL JOSEPH GERDES

Student in an Organized Health Care Education/Training Program

701 25TH AVE S
MINNEAPOLIS, MN 55454

Hennepin County (651) 346-9364

MADELINE R GOETTL DDS

Dentist

701 25TH AVE S, SUITE 400
MINNEAPOLIS, MN 55454

Hennepin County (612) 659-4900

LAURA MARIE LENIUS CO

Technician/Technologist (Orthoptist)

701 25TH AVE S
MINNEAPOLIS, MN 55454

Hennepin County (612) 365-6777

RODNEY D MCFADDEN MD

Internal Medicine

701 25TH AVE S, SUITE 505
MINNEAPOLIS, MN 55454

Hennepin County (612) 455-2040

TRISTIN JOY SANTORI HID

Hearing Instrument Specialist

701 25TH AVE S, SUITE 200
MINNEAPOLIS, MN 55454

Hennepin County (612) 339-2836

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 University Of Minnesota Pediatric Dental Clinic's NPI number?

The NPI number for University Of Minnesota Pediatric Dental Clinic is 1992075287. It was assigned to this organization in the NPPES registry on January 4, 2012.

Where is University Of Minnesota Pediatric Dental Clinic located?

University Of Minnesota Pediatric Dental Clinic is located at 701 25th Ave S Suite 400, Minneapolis, MN 55454. The listed phone number is (651) 659-4900.

What is University Of Minnesota Pediatric Dental Clinic'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 University Of Minnesota Pediatric Dental Clinic was last updated on June 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.