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

Casey Chisholm, DT

Individual provider General Practice Dentistry · NPI 1730958141

Casey Chisholm, DT is a General Practice Dentistry in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023
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Practice location Address checks out

636 Broadway St NE
Minneapolis, MN 55413-2164
Phone: (612) 746-1530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 1700941218 (MN)

Record details

NPI number1730958141
Entity typeIndividual (Type 1)
GenderFemale
Credentials DT
Sole proprietorNo
NPI enumeratedDecember 27, 2023
Last updated in NPPESDecember 27, 2023
Certification dateDecember 27, 2023
Mailing address636 Broadway St Ne, Minneapolis, MN 55413-2164

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