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

Mahtomedi Family Dental

Organization General Practice Dentistry · NPI 1720415896

Mahtomedi Family Dental is a General Practice Dentistry in Mahtomedi, Minnesota. Licensed in Minnesota. Registered with an NPI since 2013.

Licensed in
MN
In the registry since
2013

Practice location Address checks out

814 Mahtomedi Ave
Mahtomedi, MN 55115-1730
Phone: (651) 426-0011
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 D7721 (MN)

Record details

NPI number1720415896
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Welle — Doctor · (651) 426-0011
NPI enumeratedOctober 3, 2013
Last updated in NPPESOctober 3, 2013
Mailing address814 Mahtomedi Ave, Mahtomedi, MN 55115-1730

Other providers in Mahtomedi