Organization · Type 2 NPI
North Star Pediatric Dentistry
Pediatric Dentistry · Maple Grove, MN
NPI number
1902775786
Active
Practice location
9708 63rd Ave N Ste 102
Maple Grove, MN 55369-6252
Mailing address
2333 Jackson St NE Apt 222
Minneapolis, MN 55418-1845
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Other pediatric dentistry providers in Maple Grove
About NPI 1902775786
North Star Pediatric Dentistry's National Provider Identifier is 1902775786, issued on Oct 31, 2025. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Maple Grove, MN. The record was last updated on Oct 31, 2025.