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

Her and Man Town Dental PLLC

Organization Dental Clinic/Center · NPI 1275362329

Her and Man Town Dental PLLC is a Dental Clinic/Center in Hermantown, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
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

4135 Richard Ave Ste 103
Hermantown, MN 55811-2979
Phone: (218) 722-2428
Fax: (218) 722-0142
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1275362329
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracey Makitalo — Insurance Coordinator · (218) 722-2428
Other names Boulder Trail Dental
NPI enumeratedJuly 29, 2024
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024
Mailing address4135 Richard Ave Ste 103, Hermantown, MN 55811-2979

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