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

Mahtomedi Dental Clinic

Organization General Practice Dentistry · NPI 1326284597

Mahtomedi Dental Clinic is a General Practice Dentistry in Mahtomedi, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008

Practice location Address checks out

814 Mahtomedi Ave
Mahtomedi, MN 55115-1730
Phone: (651) 426-0011
Fax: (651) 426-2075
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 8217 (MN)

Record details

NPI number1326284597
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMahtomedi Dental Clinic
Authorized official Timothy Bray — Owner / Dentist · (651) 426-0011
NPI enumeratedDecember 18, 2008
Last updated in NPPESDecember 18, 2008
Mailing address814 Mahtomedi Ave, Mahtomedi, MN 55115-1730

Other providers in Mahtomedi