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

Dr. Jack Louis Churchill, DDS

Individual provider General Practice Dentistry · NPI 1427154020

Dr. Jack Louis Churchill, DDS is a General Practice Dentistry in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

825 Nicollet Mall 1427 Medical Arts Bldg
Minneapolis, MN 55402-2606
Phone: (612) 333-8988
Fax: (612) 339-3618
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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 8747 (MN)

Record details

NPI number1427154020
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 15, 2006
Last updated in NPPESJuly 8, 2007

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