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

Carousel Pediatric Dentistry PLLC

Organization Pediatric Dentistry · NPI 1114514205

Carousel Pediatric Dentistry PLLC is a Pediatric Dentistry in Apple Valley, Minnesota. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15160 Foliage Ave Ste 110
Apple Valley, MN 55124-5916
Phone: (952) 715-6177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1114514205
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Nordeen — Owner · (952) 715-6177
NPI enumeratedDecember 23, 2020
Last updated in NPPESDecember 23, 2020
Certification dateDecember 23, 2020
Mailing address15160 Foliage Ave Ste 110, Apple Valley, MN 55124-5916

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