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

Maplewood Dental Associates PA

Organization Dentist · NPI 1619065539

Maplewood Dental Associates PA is a Dentist in Maplewood, Minnesota. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1736 E Cope Ave
Maplewood, MN 55109-2610
Phone: (651) 770-3831
Fax: (651) 770-9645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1619065539
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Prokosch — President · (651) 770-6900
NPI enumeratedOctober 10, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1736 East Cope Ave, Maplewood, MN 55109-2610

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