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

Groveland Dental PA

Organization Dental Clinic/Center · NPI 1306130430

Groveland Dental PA is a Dental Clinic/Center in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2042 Saint Clair Ave
Saint Paul, MN 55105-1650
Phone: (651) 298-0024
Fax: (651) 695-2333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 11657 (MN)

Record details

NPI number1306130430
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Colaizy — President · (651) 298-0024
NPI enumeratedJune 7, 2011
Last updated in NPPESJune 7, 2011
Mailing address2042 Saint Clair Ave, Saint Paul, MN 55105-1650

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