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

Mn Dental Service Providers LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1649043662

Mn Dental Service Providers LLC is an Oral and Maxillofacial Surgery (Dentist) in Coon Rapids, Minnesota. Works from 5 locations. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3833 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2643
Phone: (763) 421-6271
Show map & directions

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

Additional practice locations (4)

  • 215 Highway 55 E, Buffalo, MN 55313-8905 — (763) 682-3410
  • 501 Main St Nw, Elk River, MN 55330-1880 — (763) 274-1092
  • 12000 Elm Creek Blvd N, Maple Grove, MN 55369-7073 — (763) 416-9990
  • 114 W 3rd St, Monticello, MN 55362-8791 — (763) 271-6770

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1649043662
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlotte Vial — Direc Of Cred And Prov Rel · (504) 638-0303
NPI enumeratedNovember 1, 2023
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023
Mailing address1610 54th Ave N Ste 205, Nashville, TN 37209-1442

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