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

Cld - Coon Rapids Mn, LLC

Organization Dental Clinic/Center · NPI 1366136269

Cld - Coon Rapids Mn, LLC is a Dental Clinic/Center in Coon Rapids, Minnesota. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3790 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2629
Phone: (763) 200-5280
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1366136269
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Park — Ceo/Owner · (651) 444-9644
NPI enumeratedJune 5, 2023
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023
Mailing address3790 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2629

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