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

Rochester Pediatric Dentistry LLC

Organization Pediatric Dentistry · NPI 1609272822

Rochester Pediatric Dentistry LLC is a Pediatric Dentistry in Rochester, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.

Licensed in
MN
In the registry since
2014
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1705 S Boradway Ave Ste B
Rochester, MN 55904-7960
Phone: (507) 288-0102
Fax: (507) 252-1445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X
Pediatric Dentistry Taxonomy 1223P0221X · Licence D13120 (MN)
Pediatric Dentistry Taxonomy 1223P0221X

Record details

NPI number1609272822
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Jones — Pediatric Dentist, Owner · (608) 206-1233
NPI enumeratedNovember 16, 2014
Last updated in NPPESDecember 8, 2020
Certification dateDecember 8, 2020
Mailing address1705 S Boradway Ave Ste B, Rochester, MN 55904-7960

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