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

Proactive Healthcare Education Center

Organization Public Health Dentistry · NPI 1003654104

Proactive Healthcare Education Center is a Public Health Dentistry in Minneapolis, Minnesota. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

334 E Lake St Ste 105
Minneapolis, MN 55408-2485
Phone: (310) 883-8932
Show map & directions

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

Specialties & licences

Public Health Dentistry (primary) Taxonomy 1223D0001X

Record details

NPI number1003654104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Solaman Shire — Owner · (310) 883-8932
Other names Proactive Dental Clinic Corp; Proactive Dental Clinic Corp
NPI enumeratedJuly 15, 2024
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024
Mailing address334 E Lake St Ste 105, Minneapolis, MN 55408-2485

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