CHAMPLIN FAMILY DENTAL PA
NPI 1992818751
Dentist - General Practice in Champlin, MN

Active since August 16, 2006
12233 CHAMPLIN DRIVE, CHAMPLIN, MN 55316(763) 323-0678(763) 323-9102 Get Directions Write a Review

NPPES record last updated: April 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Champlin Family Dental Pa NPPES

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

CHAMPLIN FAMILY DENTAL PA (NPI 1992818751) is a healthcare organization registered as a general practice in Champlin, Minnesota and active in the NPI registry since August 2006. The organization lists Krista Susan Bauer, Dentist, as its authorized official.

NPPES Registry Identity

NPI1992818751
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCHAMPLIN FAMILY DENTAL PA
Location Address12233 CHAMPLIN DRIVEChamplin, MN 55316
Mailing Address12233 Champlin DriveChamplin, MN 55316 · (763) 323-0678 · Fax (763) 323-9102
Fax(763) 323-9102
Organization SubpartNo
Authorized OfficialKrista Susan BauerDentist · (763) 323-0678
Enumeration DateAugust 16, 2006
Last NPPES UpdateApril 22, 2015
NPI 1992818751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in MN · 9624 Licensed in MN · 11195
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
12233 CHAMPLIN DRIVE, Champlin, MN 55316

Other Identifiers 1

Other624020800MN · Medical Assistance Tax

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Champlin Family Dental PA's NPI number?

The NPI number for Champlin Family Dental PA is 1992818751. It was assigned to this organization in the NPPES registry on August 16, 2006.

Where is Champlin Family Dental PA located?

Champlin Family Dental PA is located at 12233 Champlin Drive, Champlin, MN 55316. The listed phone number is (763) 323-0678.

What is Champlin Family Dental PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Champlin Family Dental PA was last updated on April 22, 2015. 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.