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

Kyle Novotny DDS PLLC

Organization General Practice Dentistry · NPI 1255044723

Kyle Novotny DDS PLLC is a General Practice Dentistry in Blaine, 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

12265 Central Ave NE
Blaine, MN 55434-3961
Phone: (763) 757-1323
Fax: (763) 757-1037
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1255044723
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Novotny — Owner · (763) 757-1323
Other names Legacy Dental Care
NPI enumeratedDecember 29, 2022
Last updated in NPPESDecember 29, 2022
Certification dateDecember 29, 2022
Mailing address12265 Central Ave Ne, Blaine, MN 55434-3961

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