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

Stillwater Modern Dentistry PC

Organization General Practice Dentistry · NPI 1629774138

Stillwater Modern Dentistry PC is a General Practice Dentistry in Oak Park Heights, Minnesota. Registered with an NPI since 2023.

In the registry since
2023
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

13331 60th St N
Oak Park Heights, MN 55082-1287
Phone: (651) 352-4629
Fax: (651) 359-2935
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1629774138
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krista Koehler — Owner · (651) 352-4629
Other names Stillwater Modern Dentistry
NPI enumeratedFebruary 6, 2023
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 6, 2023
Mailing addressPo Box 920050, Dallas, TX 75392-0050

Other providers in Oak Park Heights