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

Nicollet Dental

Organization Dentist · NPI 1003108895

Nicollet Dental is a Dentist in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011
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Practice location Address checks out

6101 Nicollet Ave So
Minneapolis, MN 55419
Phone: (612) 866-8550
Fax: (612) 866-9453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D12104 (MN)

Record details

NPI number1003108895
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Casey Nelson — Owner · (612) 866-8550
NPI enumeratedMay 11, 2011
Last updated in NPPESMay 11, 2011
Mailing address6101 Nicollet Ave. So., Minneapolis, MN 55419

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