Organization · Type 2 NPI

Northland Dental Partners, PLLC

General Practice Dentistry · Blaine, MN

NPI number 1619619129 Active

Practice location

12371 Ulysses St NE
Blaine, MN 55434-3910

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: 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.

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NPI record

NPI: 1619619129
Entity type: Organization (Type 2)
Issued: Apr 13, 2022
Last updated: Feb 1, 2024
Status: Active
Subpart: Yes of Northland Dental Partners, PLLC

Other names

<unavail>
Central Avenue Dental Care · doing business as
Central Avenue Dental Care · doing business as

Authorized official

Celia Hayes
Credentialing Coordinator
(217) 540-2100

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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 1619619129

Northland Dental Partners, PLLC's National Provider Identifier is 1619619129, issued on Apr 13, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Blaine, MN. The record was last updated on Feb 1, 2024.