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 1962242719

Mn Dental Service Providers LLC is an Oral and Maxillofacial Surgery (Dentist) in Coon Rapids, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
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 Ste 220
Coon Rapids, MN 55433-2597
Phone: (763) 421-6271
Show map & directions

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

Specialties & licences

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

Record details

NPI number1962242719
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMn Dental Service Providers LLC
Authorized official Charlotte Dasch — Director Of Cred And Pr · (504) 638-0303
Other names Associated Oral And Maxillofacial Surgeons
NPI enumeratedMay 29, 2024
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024
Mailing address1610 54th Ave N Ste 205, Nashville, TN 37209-1442

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