COMMUNITY DENTAL CARE
NPI 1992102040
Point of Service in Maplewood, MN

Q: What is the provider's specialty?

The provider's specialty is Point of Service with taxonomy code 305S00000X.

Active since December 04, 2014

1670 BEAM AVE, MAPLEWOOD, MN 55109(651) 925-8400 Get Directions Write a Review

NPPES record last updated: December 4, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Community Dental Care NPPES

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

COMMUNITY DENTAL CARE (NPI 1992102040) is a healthcare organization registered as a point of service in Maplewood, Minnesota and active in the NPI registry since December 2014. The organization lists Vacharee Peterson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1992102040

Entity TypeOrganization

Primary Taxonomy305S00000X

Legal Business NameCOMMUNITY DENTAL CARE

Location Address1670 BEAM AVEMaplewood, MN 55109-1201

Mailing Address1670 Beam AveMaplewood, MN 55109-1201 · (651) 925-8400

Phone(651) 925-8400

Organization SubpartNo

Authorized OfficialVacharee PetersonCeo · (651) 925-8400

Enumeration DateDecember 4, 2014

✔ NPI 1992102040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations

Taxonomy Code305S00000X

License✔ Licensed in MN · H9154

Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

1670 BEAM AVE, Maplewood, MN 55109

Open in Google Maps ↗