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

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: August 09, 2026.

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
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Other Identifiers 1

Medicaid124Q00000XMN

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.

123 BRUSH DENTAL LLC
Clinic/Center (Dental)
1670 BEAM AVE, STE 202
MAPLEWOOD, MN 55109
Ramsey County (651) 779-4195
COMMUNITY DENTAL CARE INC
Dentist (General Practice)
1670 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (651) 925-8400
MRS. ALICIA MICHELLE BIBEAU LDH
Dental Hygienist
1670 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (651) 925-8400
COMMUNITY EYE CLINIC
Optometrist
1670 BEAM AVE, STE 202
MAPLEWOOD, MN 55109
Ramsey County (651) 777-6149
AUDREY GREAVES DDS
Dentist
1670 BEAM AVE
SAINT PAUL, MN 55109
Ramsey County (651) 925-8400
MEGAN MEYER M.D.T.
Dental Assistant
1670 BEAM AVE, #204
MAPLEWOOD, MN 55109
Ramsey County (651) 925-8400
DIANE MARIE FISH D.D.S
Dentist (General Practice)
1670 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (651) 925-8400
ERIN TOPLEY DDS
Dentist (General Practice)
1670 BEAM AVE, COMMUNITY DENTAL CARE
MAPLEWOOD, MN 55109
Ramsey County (651) 925-8400

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 Community Dental Care's NPI number?

The NPI number for Community Dental Care is 1992102040. It was assigned to this organization in the NPPES registry on December 4, 2014.

Where is Community Dental Care located?

Community Dental Care is located at 1670 Beam Ave, Maplewood, MN 55109. The listed phone number is (651) 925-8400.

What is Community Dental Care's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Community Dental Care was last updated on December 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.