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

Prosthodontic Associates, PLLC

Organization Dental Clinic/Center · NPI 1164956694

Prosthodontic Associates, PLLC is a Dental Clinic/Center in Roseville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2017.

Licensed in
MN
In the registry since
2017
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

2233 Hamline Ave N Ste 210
Roseville, MN 55113-5009
Phone: (651) 633-4914
Fax: (651) 633-5126
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence D12653 (MN)

Record details

NPI number1164956694
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Chong — Partner · (651) 633-4914
NPI enumeratedApril 11, 2017
Last updated in NPPESApril 11, 2017
Mailing address2233 Hamline Ave N, Suite 210, Roseville, MN 55113-5009

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