Organization · Type 2 NPI

KSP Dental PLLC

Dental Clinic/Center · Maple Grove, MN

NPI number 1083510705 Active

Practice location

7870 Main St N
Maple Grove, MN 55369-7055

Call (763) 218-9700 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1083510705

KSP Dental PLLC's National Provider Identifier is 1083510705, issued on Oct 19, 2026. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Maple Grove, MN. The record was last updated on Oct 19, 2026.