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

Northland Dental Partners, PLLC

Organization General Practice Dentistry · NPI 1619619129

Northland Dental Partners, PLLC is a General Practice Dentistry in Blaine, Minnesota. Registered with an NPI since 2022.

In the registry since
2022
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

12371 Ulysses St NE
Blaine, MN 55434-3910
Phone: (763) 203-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1619619129
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNorthland Dental Partners, PLLC
Authorized official Celia Hayes — Credentialing Coordinator · (217) 540-2100
Other names Central Avenue Dental Care; Central Avenue Dental Care
NPI enumeratedApril 13, 2022
Last updated in NPPESFebruary 1, 2024
Certification dateJanuary 31, 2024
Mailing address12371 Ulysses St Ne, Blaine, MN 55434-3910

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