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

Spectrum Smiles LLC

Organization Clinic/Center · NPI 1790531184

Spectrum Smiles LLC is a Clinic/Center in Eagan, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
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

860 Blue Gentian Rd #200
Eagan, MN 55121-1564
Phone: (612) 245-0436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1790531184
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Najib Isse — Ceo · (612) 245-0436
NPI enumeratedApril 25, 2024
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026
Mailing address860 Blue Gentian Road #200, Eagan, MN 55121-1564

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