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

Creekside Dental PLLC

Organization Dentist · NPI 1043955412

Creekside Dental PLLC is a Dentist in St Louis Park, Minnesota. Registered with an NPI since 2022.

In the registry since
2022
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

3340 Republic Ave Ste 130
St Louis Park, MN 55426-4189
Phone: (763) 442-7624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1043955412
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gabriel De Los Rios — Owner/Dentist · (763) 442-7624
NPI enumeratedMay 1, 2022
Last updated in NPPESMay 1, 2022
Certification dateMay 1, 2022
Mailing address12445 Porcupine Ct, Eden Prairie, MN 55344-3972

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