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

Hometown Pediatric Dermatology PLLC

Organization Clinic/Center · NPI 1114671724

Hometown Pediatric Dermatology PLLC is a Clinic/Center in North Oaks, Minnesota. Registered with an NPI since 2022.

In the registry since
2022
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

10 Charles Lake Rd
North Oaks, MN 55127-6227
Phone: (612) 234-2331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1114671724
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Asch — Owner · (612) 234-2331
NPI enumeratedFebruary 11, 2022
Last updated in NPPESFebruary 11, 2022
Certification dateFebruary 11, 2022
Mailing address10 Charles Lake Rd, North Oaks, MN 55127-6227