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

Minnesota Dental Surgery PLLC

Organization Dental Clinic/Center · NPI 1124478607

Minnesota Dental Surgery PLLC is a Dental Clinic/Center in Bloomington, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9801 Dupont Ave S
Bloomington, MN 55431-3100
Phone: (952) 215-7419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence D12540 (MN)

Record details

NPI number1124478607
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bennett Isabella — Ceo · (952) 215-7419
NPI enumeratedJune 15, 2016
Last updated in NPPESJune 15, 2016
Mailing address3510 120th St W, Rosemount, MN 55068-3501

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