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 1841462652

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
Specialties on file
2

Practice location Address checks out

814 Mahtomedi Ave Mahtomedi Dental
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 D8217 (MN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 11396 (MN)

Record details

NPI number1841462652
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Bray — Owner - Dentist · (651) 426-0011
Other names North St. Paul Dental
NPI enumeratedApril 1, 2008
Last updated in NPPESJuly 18, 2008
Mailing address814 Mahtomedi Ave, Mahtomedi, MN 55115-1730

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