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

Northwest Family Dental Center Tn

Organization General Practice Dentistry · NPI 1114130010

Northwest Family Dental Center Tn is a General Practice Dentistry in Saint Michael, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007

Practice location Address checks out

12725 43rd St NE Ste 202
Saint Michael, MN 55376-4900
Phone: (763) 497-2367
Fax: (763) 497-8171
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 8424 (MN)

Record details

NPI number1114130010
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Desimone — Owner · (763) 497-2367
NPI enumeratedMay 7, 2007
Last updated in NPPESAugust 22, 2020
Mailing address12725 43rd St Ne, Suite 202, Saint Michael, MN 55376-4900

Other providers in Saint Michael