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

Penn Avenue Family Dental

Organization General Practice Dentistry · NPI 1376648402

Penn Avenue Family Dental is a General Practice Dentistry in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006

Practice location Address checks out

5346 Penn Ave S
Minneapolis, MN 55419-1065
Phone: (612) 922-0894
Fax: (612) 922-1352
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 9220 (MN)

Record details

NPI number1376648402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert McNab — Owner · (612) 922-0894
NPI enumeratedSeptember 13, 2006
Last updated in NPPESAugust 22, 2020
Mailing address5346 Penn Ave S, Minneapolis, MN 55419-1065

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