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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PENN AVENUE FAMILY DENTAL

Active Organization

PENN AVENUE FAMILY DENTAL is a General Dentistry organization located in MINNEAPOLIS, Minnesota. NPI 1376648402 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · MINNEAPOLIS, MN

Registration Details

NPI Number
1376648402
Provider Type
Organization
NPI Issued
Sep 13, 2006 (19.915365189884 yrs)
Last Updated
Aug 22, 2020
License
9220 (MN)

Practice Information

Address
5346 PENN AVE S
MINNEAPOLIS, MN, 554191065
Browse MN providers · Browse ZIP 55419
Phone
6129220894
Fax
6129221352
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.