Organization · Type 2 NPI

Richfield Pediatric Dentistry, P.a.

Dental Clinic/Center · Richfield, MN

NPI number 1063752483 Active

Practice location

6945 Penn Ave S, Suite 102
Richfield, MN 55423-2081

Call (612) 866-4041 Map

Mailing address

250 Central Ave N, Suite 113
Wayzata, MN 55391-1206

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	D12818 (MN)

Dental Clinic/Center: Definition to come...

4 other providers at this address

Other dental clinic/center providers in Richfield

CLD - Richfield Mn, LLCDental Clinic/Center Richfield, MN NPI 1932956919

See all in Richfield →

NPI record

NPI: 1063752483
Entity type: Organization (Type 2)
Issued: Feb 21, 2013
Last updated: Jan 14, 2014
Status: Active
Subpart: Yes of Taylor J. Stephens, D.d.s, P.a

Other names

<unavail>
Tailwind Pediatric Dentistry · doing business as

Authorized official

Taylor J Stephens, DDS
President/owner
(952) 475-3135

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063752483

Richfield Pediatric Dentistry, P.a.'s National Provider Identifier is 1063752483, issued on Feb 21, 2013. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Richfield, MN. The record was last updated on Jan 14, 2014.