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

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General Dentistry · PLYMOUTH, MN

Registration Details

NPI Number
1457214876
Provider Type
Individual
Gender
Male
NPI Issued
Dec 3, 2025 (0.38109143978434 yrs)
Last Updated
Dec 5, 2025
License
112552 (CA)

Practice Information

Address
5043 ARCHER LN N
PLYMOUTH, MN, 554462745
Browse MN providers · Browse ZIP 55446
Phone
7633399622
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in PLYMOUTH, MN

Name Credential NPI
DR. WILLIAM L LASPE D.D.S. 1477545135
DR. DARREN EUGENE HOVLAND D.D.S. 1184613390
MICHAEL NELSON 1003806027
THOMAS MARVIN GARVIN D.D.S. 1427089317
DR. LEANN CLARICE SALO D.D.S. 1366465221
GREGORY DAVID LISKA DDS 1881618296
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.