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

Bucca Dental LLC

Organization Dental Clinic/Center · NPI 1750774428

Bucca Dental LLC is a Dental Clinic/Center in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2015.

Licensed in
MN
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1508 E Lake St
Minneapolis, MN 55407-1720
Phone: (612) 724-1717
Fax: (612) 724-3114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence D11889 (MN)

Record details

NPI number1750774428
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edgar Mantilla — Ceo · (612) 724-1717
NPI enumeratedMarch 5, 2015
Last updated in NPPESMarch 5, 2015
Mailing address1508 E Lake St, Minneapolis, MN 55407-1720

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