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

Family and Cosmetic Gentle Dentistry

Organization General Practice Dentistry · NPI 1164803177

Family and Cosmetic Gentle Dentistry is a General Practice Dentistry in Wayzata, Minnesota. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

1421 Wayzata Blvd Ste 320
Wayzata, MN 55391-1939
Phone: (952) 224-9774
Fax: (952) 224-9791
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1164803177
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Bodin — Dentist · (952) 224-9774
NPI enumeratedJune 16, 2015
Last updated in NPPESJune 16, 2015
Mailing address4100 Shoreline Dr, Suite 4, Spring Park, MN 55384-4508

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