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

Grove Dentist PA

Organization General Practice Dentistry · NPI 1326481284

Grove Dentist PA is a General Practice Dentistry in Maple Grove, Minnesota. Licensed in Minnesota. Registered with an NPI since 2013.

Licensed in
MN
In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

13649 Grove Dr
Maple Grove, MN 55311-4405
Phone: (763) 420-8038
Fax: (763) 494-4222
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D11844 (MN)

Record details

NPI number1326481284
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reny Chacko — Dentist · (651) 308-2804
NPI enumeratedApril 10, 2013
Last updated in NPPESApril 10, 2013
Mailing address13649 Grove Dr, Maple Grove, MN 55311-4405

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