Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Borealis Dental Studio, PA

Organization Dentist · NPI 1922450634

Borealis Dental Studio, PA is a Dentist in Lindstrom, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12745 N 1st Ave
Lindstrom, MN 55045-9585
Phone: (651) 257-2720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D13152 (MN)

Record details

NPI number1922450634
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Becky Goolsby — Business Manager · (405) 837-3159
NPI enumeratedJuly 6, 2016
Last updated in NPPESJuly 6, 2016
Mailing address6892 256th St, Wyoming, MN 55092-8362

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