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

Immanuel Dental

Organization Dentist · NPI 1417070509

Immanuel Dental is a Dentist in Farmington, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007

Practice location Address checks out

321 Third St
Farmington, MN 55024
Phone: (651) 463-2880
Fax: (651) 463-2840
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D10129 (MN)

Record details

NPI number1417070509
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linden Dungy — C.E.O. · (651) 463-2880
NPI enumeratedApril 6, 2007
Last updated in NPPESMarch 25, 2022
Certification dateMarch 25, 2022
Mailing address321 Third Street, Farmington, MN 55024

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