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

Hanover Dental PLLC

Organization Dental Clinic/Center · NPI 1487147260

Hanover Dental PLLC is a Dental Clinic/Center in Hanover, Minnesota. Licensed in Minnesota. Registered with an NPI since 2018.

Licensed in
MN
In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

411 Labeaux Ave NE
Hanover, MN 55341
Phone: (763) 400-3005
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence D13236 (MN)

Record details

NPI number1487147260
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyler Koivisto — Dentist · (763) 226-7379
Other names Hanover Dental; Hanover Dental
NPI enumeratedJune 7, 2018
Last updated in NPPESJune 7, 2018
Mailing address1192 Bice Ave Nw, Buffalo, MN 55313-4456