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

Minnehaha Fall Family Dental

Organization Dentist · NPI 1104977222

Minnehaha Fall Family Dental is a Dentist in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007

Practice location Address checks out

4554 Minnehaha Ave
Minneapolis, MN 55406
Phone: (612) 721-3012
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 10142 (MN)

Record details

NPI number1104977222
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenna Swenson — Owner · (320) 761-2259
Other names Jakubas Dental
NPI enumeratedJanuary 16, 2007
Last updated in NPPESDecember 31, 2020
Certification dateDecember 31, 2020
Mailing address4554 Minnehaha Ave, Minneapolis, MN 55406

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