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

Minnesota Head and Neck Pain Clinic, PA

Organization Orofacial Pain Dentistry · NPI 1003316852

Minnesota Head and Neck Pain Clinic, PA is an Orofacial Pain Dentistry in Saint Cloud, Minnesota. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

622 Roosevelt Rd
Saint Cloud, MN 56301-6153
Phone: (763) 577-2484
Fax: (763) 577-1375
Show map & directions

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

Specialties & licences

Orofacial Pain Dentistry (primary) Taxonomy 1223X2210X
Specialist Taxonomy 174400000X

Record details

NPI number1003316852
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tia Reichert — Chro/Clinic Admin · (763) 577-2484
Other names Minnesota Head & Neck Pain Clinic; Minnesota Head & Neck Pain Clinic
NPI enumeratedFebruary 19, 2018
Last updated in NPPESJuly 17, 2024
Certification dateOctober 16, 2023
Mailing address3475 Plymouth Blvd Ste 200, Plymouth, MN 55447-1539