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

Plymouth Smiles Dentistry, PC

Organization Dentist · NPI 1508574773

Plymouth Smiles Dentistry, PC is a Dentist in Plymouth, Minnesota. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3405 Vicksburg Ln N Ste 120
Plymouth, MN 55447-1370
Phone: (763) 390-2414
Fax: (763) 290-6811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1508574773
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Parvathi Jithendrana — Owner · (763) 390-2614
Other names Plymouth Smiles Dentistry
NPI enumeratedNovember 7, 2022
Last updated in NPPESNovember 7, 2022
Certification dateNovember 7, 2022
Mailing addressPo Box 920050, Dallas, TX 75392-0050

Other providers in Plymouth